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General NPI Number Information
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NPI Number | 1912950734
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Entity Type | Organization
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Legal Business Name | LAWRENCE S DEUTSCH MD & ASSOC PC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3998 RED LION RD SUITE 215
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City | PHILA
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State | PA
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Zip | 19114
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Country | US
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Telephone | 215-632-5437
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Fax | 215-824-4114
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Provider Business Mailing Address
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Address Line | 3998 RED LION RD SUITE 215
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City | PHILA
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State | PA
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Zip | 19114
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Country | US
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Telephone | 215-632-5437
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Fax | 215-824-4114
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICIA OBRIEN
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Credential | RN BSN
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Telephone | 215-632-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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