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General NPI Number Information
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NPI Number | 1992722649
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Entity Type | Individual
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Provider Name | JOHN MICHAEL ERBICELLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 1 CHAPEL HILL RD
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City | MEDIA
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State | PA
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Zip | 19063-1901
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Country | US
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Telephone | 215-687-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHAPEL HILL RD
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City | MEDIA
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State | PA
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Zip | 19063-1901
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Country | US
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Telephone | 215-687-5123
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA06718400
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License Number State | NJ
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