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General NPI Number Information
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NPI Number | 1922323633
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Entity Type | Organization
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Legal Business Name | ARIA HEALTH PHYSICIAN SERVICES - ARIA ORTHOPEDICS
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 3110 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2542
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Country | US
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Telephone | 215-464-6600
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Fax | 215-464-9550
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Provider Business Mailing Address
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Address Line | PO BOX 8500-6335
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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 | 215-807-8000
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Fax | 215-807-8235
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN ABRAHAM
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Credential |
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Telephone | 215-612-4823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State | PA
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