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General NPI Number Information
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NPI Number | 1770563082
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Entity Type | Organization
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Legal Business Name | FORNANCE PHYSICIAN SERVICES, INC
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 559 W GERMANTOWN PIKE
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City | EAST NORRITON
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State | PA
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Zip | 19403-4250
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Country | US
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Telephone | 484-622-0700
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Fax | 484-622-0643
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Provider Business Mailing Address
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Address Line | PO BOX 8500-9967
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City | PHILADELPHIA
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State | PA
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Zip | 19178-9967
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Country | US
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Telephone | 484-622-7395
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Fax | 484-622-7399
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Authorized Official
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Title or Position | REIMBURSEMENT MANAGER
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Name | KAREN LOWE-ROBBINS
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Credential |
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Telephone | 484-622-7382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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