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General NPI Number Information
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NPI Number | 1932346178
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Entity Type | Individual
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Provider Name | SAJI SIMON
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Gender | Male
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 971 EAST LANCASTER AVENUE SAJI ENTERPRISES P.C. WELLNESS OFFICE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335
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Country | US
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Telephone | 215-990-9015
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Fax | 888-477-8110
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Provider Business Mailing Address
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Address Line | PO BOX 60310
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-0310
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Country | US
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Telephone | 323-819-1934
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Fax |
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | SC005516
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License Number State | PA
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