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General NPI Number Information
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NPI Number | 1891730180
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Entity Type | Individual
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Provider Name | PETER DOUGLAS EHRENKRANZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 700 LAWN AVE GRAND VIEW HOSPITAL
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1548
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Country | US
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Telephone | 215-453-4139
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Fax | 610-617-6280
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Provider Business Mailing Address
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Address Line | PO BOX 8500-2161 LAWN AVENUE MEDICAL ASSOCIATES
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0001
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Country | US
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Telephone | 610-668-6491
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Fax | 610-617-6280
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD424642
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License Number State | PA
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