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General NPI Number Information
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NPI Number | 1770729188
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Entity Type | Individual
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Provider Name | ASHISH DHAWAN MD, MSPH
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Gender | Male
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 160 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1011
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Country | US
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Telephone | 215-427-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 315 CREEK RD
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3912
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Country | US
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Telephone | 704-451-7680
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD443200
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | MD443200
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License Number State | PA
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