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General NPI Number Information
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NPI Number | 1881807337
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Entity Type | Organization
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Legal Business Name | VALLEY FORGE SURGICAL
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 824 MAIN ST SUITE 300
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4478
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Country | US
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Telephone | 610-935-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 824 MAIN ST SUITE 300
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4478
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Country | US
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Telephone | 610-935-7772
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANNE COYNE
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Credential |
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Telephone | 610-935-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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