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General NPI Number Information
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NPI Number | 1740440338
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Entity Type | Individual
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Provider Name | MELISSA BARENBAUM MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 866-225-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 3442 W PENN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1439
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Country | US
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Telephone | 267-254-0256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD434401
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License Number State | PA
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