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General NPI Number Information
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NPI Number | 1932471554
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Entity Type | Organization
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Legal Business Name | HEALTH ACCESS NETWORK
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 501 N LANSDOWNE AVE DCMH CANCER CENTER
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City | DREXEL HILL
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State | PA
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Zip | 19026-1114
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Country | US
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Telephone | 610-284-8240
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Fax | 610-284-8101
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Provider Business Mailing Address
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Address Line | 501 N LANSDOWNE AVE DCMH CANCER CENTER
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City | DREXEL HILL
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State | PA
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Zip | 19026-1114
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Country | US
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Telephone | 610-284-8240
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Fax | 610-284-8101
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Authorized Official
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Title or Position | PRESDIENT
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Name | JAMES A STUCCIO
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Credential |
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Telephone | 610-338-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery 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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State | PA
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