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General NPI Number Information
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NPI Number | 1851791891
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Entity Type | Organization
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Legal Business Name | BEST IMPRESSION COSMETIC SURGERY
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 1050 DEKALB PIKE
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City | BLUE BELL
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State | PA
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Zip | 19422-1812
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Country | US
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Telephone | 610-272-8821
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 DEKALB PIKE
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City | BLUE BELL
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State | PA
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Zip | 19422-1812
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Country | US
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Telephone | 610-272-8821
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Fax |
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | VIVIAN HSU
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Credential | MD
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Telephone | 610-272-8821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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