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General NPI Number Information
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NPI Number | 1992487540
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Entity Type | Organization
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Legal Business Name | ENCORE CLINICAL SERVICES - PA LLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 200 RITTENHOUSE CIRCLE EAST BUILDING SUITE 4
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City | BRISTOL
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State | PA
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Zip | 19007-1619
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Country | US
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Telephone | 267-225-1295
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Fax | 267-393-4493
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Provider Business Mailing Address
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Address Line | 731 BAY AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2378
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Country | US
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Telephone | 267-225-1295
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Fax | 267-573-3086
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Authorized Official
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Title or Position | OPERATIONS
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Name | MATTHEW LEGOWSKI
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Credential |
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Telephone | 267-225-1295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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