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General NPI Number Information
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NPI Number | 1891029625
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Entity Type | Individual
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Provider Name | ALEXANDROS PAPPAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 132 S 10TH ST SUITE 861, MAIN BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone | 267-357-5398
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Fax |
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Provider Business Mailing Address
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Address Line | 132 S 10TH ST SUITE 861, MAIN BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone |
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | MT193028
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD443722
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License Number State | PA
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