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General NPI Number Information
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NPI Number | 1942442553
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Entity Type | Organization
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Legal Business Name | READING DERMATOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 3317 PENN AVE
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City | WEST LAWN
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State | PA
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Zip | 19609-1436
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Country | US
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Telephone | 610-750-7891
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 PENN AVE
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City | READING
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State | PA
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Zip | 19609-1436
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Country | US
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Telephone | 107-507-8916
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Fax | 610-750-7896
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON ERROL HENDRIX
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Credential | DO
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Telephone | 610-750-7891
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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 | MD008407E
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License Number State | PA
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