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General NPI Number Information
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NPI Number | 1790971729
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Entity Type | Organization
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Legal Business Name | UNIVERSITY GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 443 LAUREL OAK RD SUITE 230
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City | VOORHEES
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State | NJ
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Zip | 08043-4451
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Country | US
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Telephone | 215-955-8900
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Fax | 215-955-5245
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Provider Business Mailing Address
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Address Line | 132 S 10TH ST 480 MAIN BUILDING
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City | PHILA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone | 215-955-8900
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Fax | 215-955-5245
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SUE LAMPMAN
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Credential |
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Telephone | 215-955-3947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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