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General NPI Number Information
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NPI Number | 1871588970
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Entity Type | Organization
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Legal Business Name | DENISE RANUCCI MD,LLC
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 303 HORSHAM RD SUITE 1B
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City | HORSHAM
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State | PA
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Zip | 19044-2029
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Country | US
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Telephone | 215-657-5903
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Fax | 215-657-5905
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Provider Business Mailing Address
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Address Line | 714 DAVENTRY LN
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City | AMBLER
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State | PA
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Zip | 19002-2307
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Country | US
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Telephone | 215-657-5903
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Fax | 215-657-5905
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. DENISE A RANUCCI
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Credential | MD
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Telephone | 215-657-5903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD056740L
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License Number State | PA
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