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General NPI Number Information
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NPI Number | 1750426839
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Entity Type | Organization
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Legal Business Name | EUSEBIO R. NUNEZ MD PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1216 E HUNTING PARK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-4928
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Country | US
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Telephone | 215-533-2407
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Fax | 215-533-2408
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Provider Business Mailing Address
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Address Line | 1353 BRENTWOOD RD
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City | YARDLEY
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State | PA
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Zip | 19067-3924
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Country | US
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Telephone | 215-533-2407
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Fax | 215-533-2408
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EUSEBIO RAMOS NUNEZ
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Credential | MD
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Telephone | 215-533-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD039335E
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License Number State | PA
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