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General NPI Number Information
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NPI Number | 1932003381
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Entity Type | Organization
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Legal Business Name | M DERMATOLOGY LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 625 W RIDGE PIKE STE D-102
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-3215
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Country | US
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Telephone | 310-283-9256
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Fax |
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Provider Business Mailing Address
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Address Line | 625 W RIDGE PIKE STE D-102
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-3215
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Country | US
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Telephone | 310-283-9256
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. ELENI MCGEEHIN
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Credential | M.D.
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Telephone | 310-283-9256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | NULL
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