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General NPI Number Information
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NPI Number | 1831372978
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Entity Type | Organization
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Legal Business Name | NORMAN A. BREST, MD DIVISON
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE MEDICAL BLDG. EAST SUITE 561
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-642-7714
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Fax | 610-649-0761
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE MEDICAL BLDG. EAST SUITE 561
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-642-7714
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Fax | 610-649-0761
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Authorized Official
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Title or Position | DIVISION OWNER
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Name | DR. NORMAN A BREST
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Credential | MD
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Telephone | 610-642-7714
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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 | MD024417E
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License Number State | PA
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