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General NPI Number Information
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NPI Number | 1740434364
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Entity Type | Organization
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Legal Business Name | RICHARD M GOLDFARB MD FACS LLC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 940 TOWN CENTER DR SUITE F20
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City | LANGHORNE
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State | PA
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Zip | 19047-1772
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Country | US
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Telephone | 215-702-1200
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Fax | 215-702-1300
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Provider Business Mailing Address
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Address Line | 940 TOWN CENTER DR SUITE F20
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City | LANGHORNE
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State | PA
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Zip | 19047-1772
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Country | US
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Telephone | 215-702-1200
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Fax | 215-702-1300
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | MRS. ANDREA J RICHARDS
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Credential |
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Telephone | 215-547-9570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD038006E
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License Number State | PA
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