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General NPI Number Information
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NPI Number | 1831114818
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Entity Type | Individual
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Provider Name | THOMAS J BADER MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | ONE MEDICAL CENTER BLVD ACP #334
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City | UPLAND
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-872-7660
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Fax | 610-876-2628
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Provider Business Mailing Address
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Address Line | 1350 EDGMONT AVE STE 1500
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City | CHESTER
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State | PA
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Zip | 19013-3962
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Country | US
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Telephone | 610-872-7660
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Fax | 610-876-2628
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD045194L
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License Number State | PA
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