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General NPI Number Information
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NPI Number | 1801142484
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY HEALTH CONNECTIONS PC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 34 COLSON LN
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City | MULLICA HILL
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State | NJ
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Zip | 08062-1502
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Country | US
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Telephone | 856-223-0436
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Fax | 856-223-1707
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Provider Business Mailing Address
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Address Line | 402 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4112
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FRANCIS T FERRY
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Credential |
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Telephone | 856-845-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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