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NPI 1992830913

NPI 1992830913 : ARIA HEALTH PHYSICIAN SERVICES : YARDLEY, PA

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General NPI Number Information
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    NPI Number           |    1992830913
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIA HEALTH PHYSICIAN SERVICES 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    06/24/2015
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Provider Practice Location Address
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    Address Line         |    680 HEACOCK RD SUITE 205
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    City                 |    YARDLEY
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    State                |    PA
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    Zip                  |    19067-6346
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    Country              |    US
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    Telephone            |    215-493-0100
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    Fax                  |    215-493-7528
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8500-6335 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-0001
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    Country              |    US
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    Telephone            |    215-493-0100
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    Fax                  |    215-493-7528
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Authorized Official
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    Title or Position    |    CEO-PRESIDENT AHPS
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) 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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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