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General NPI Number Information
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NPI Number | 1891971800
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Entity Type | Organization
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Legal Business Name | GREATER NE FAMILY PRACTICE INC
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 3149 E LINCOLN HWY SUITE C
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City | THORNDALE
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State | PA
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Zip | 19372-1129
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Country | US
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Telephone | 610-857-3445
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Fax | 484-318-2303
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Provider Business Mailing Address
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Address Line | 3149 E LINCOLN HWY SUITE C
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City | THORNDALE
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State | PA
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Zip | 19372-1129
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Country | US
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Telephone | 610-857-3445
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Fax | 484-318-2303
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NADEEM ASHIQ PAROYA
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Credential | MD
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Telephone | 610-857-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD422340
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License Number State | PA
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