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General NPI Number Information
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NPI Number | 1962467241
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Entity Type | Organization
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Legal Business Name | ARIA HEALTH PHYSICIAN SERVICES-GYN
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 3998 RED LION RD SUITE 106
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-4143
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Fax | 215-612-4909
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Provider Business Mailing Address
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Address Line | PO BOX 825395
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5395
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Country | US
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Telephone | 215-481-6836
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Fax | 215-481-5788
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | RONALD KUMOR
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Credential |
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Telephone | 215-612-4858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology 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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | PA
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