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General NPI Number Information
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NPI Number | 1760310296
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Entity Type | Organization
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Legal Business Name | PROGRESSION DIRECT PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 3475 W CHESTER PIKE STE 210
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4288
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Country | US
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Telephone | 484-420-4215
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Fax | 484-339-6672
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Provider Business Mailing Address
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Address Line | 3475 W CHESTER PIKE STE 210
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4288
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Country | US
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Telephone | 484-420-4215
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Fax | 484-339-6672
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH GRAHAM
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Credential | MD
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Telephone | 215-805-9447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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