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General NPI Number Information
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NPI Number | 1841363603
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Entity Type | Individual
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Provider Name | JOEL S NOUMOFF MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD VIVACQUA PAVILION #441
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-876-9640
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Fax | 610-876-1881
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Provider Business Mailing Address
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Address Line | 238 LLOYD LN
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3322
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Country | US
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Telephone | 610-649-1208
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Fax |
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD031129E
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License Number State | PA
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