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General NPI Number Information
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NPI Number | 1801842273
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Entity Type | Organization
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Legal Business Name | WJO, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 3554 HULMEVILLE RD. SUITE 103
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City | BENSALEM
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State | PA
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Zip | 19020
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Country | US
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Telephone | 215-633-1750
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Fax | 215-633-1753
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Provider Business Mailing Address
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Address Line | 424 MILL STREET
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City | BRISTOL
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State | PA
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Zip | 19007
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Country | US
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Telephone | 215-826-8050
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Fax | 215-826-8053
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Authorized Official
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Title or Position | DIRECTOR OF HUMAN RESOURCES
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Name | KRISTINE MCMANUS
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Credential |
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Telephone | 215-757-0465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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