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General NPI Number Information
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NPI Number | 1780871178
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA REHABILITATION & SPORTS MEDICINE
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 1407 RHAWN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2803
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Country | US
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Telephone | 267-738-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 RHAWN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2803
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Country | US
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Telephone | 215-722-3948
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARGARET A GUEST
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Credential | DO
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Telephone | 267-738-6040
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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 | OS007450L
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License Number State | PA
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