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General NPI Number Information
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NPI Number | 1861475758
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Entity Type | Individual
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Provider Name | JOSEPH ONISHCHUK DO
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 2010 OLD W CHESTER PIKE SUITE 330
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City | HAVERTOWN
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State | PA
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Zip | 19032
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Country | US
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Telephone | 610-789-8070
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Fax | 610-789-9937
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Provider Business Mailing Address
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Address Line | PO BOX 8500-406
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City | PHILADELPHIA
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State | PA
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Zip | 19178-4066
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Country | US
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Telephone | 888-709-4485
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS006081E
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License Number State | PA
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