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General NPI Number Information
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NPI Number | 1750371852
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Entity Type | Individual
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Provider Name | PHILIP EISINGER DO
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 500 MARTHA JEFFERSON DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4668
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Country | US
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Telephone | 434-654-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 201 STATE ST
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City | ERIE
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State | PA
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Zip | 16550-0002
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Country | US
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Telephone | 814-547-2503
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DOS-2454
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA12159200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-16821
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS013840
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 010261
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License Number State | AZ
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