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General NPI Number Information
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NPI Number | 1841027711
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Entity Type | Organization
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Legal Business Name | DYNAMIC INJURY SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 333 W MOUNT PLEASANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2904
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Country | US
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Telephone | 215-432-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SYCAMORE CT
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City | MEDIA
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State | PA
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Zip | 19063-2048
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Country | US
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Telephone | 215-432-4488
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | SIDNEY ZILBER
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Credential |
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Telephone | 610-202-0105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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