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General NPI Number Information
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NPI Number | 1992957989
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Entity Type | Organization
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Legal Business Name | THE ARTHRITIS CENTER, LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 301 E CITY AVE STE 235
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1710
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Country | US
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Telephone | 610-664-8200
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Fax | 866-267-4029
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Provider Business Mailing Address
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Address Line | 301 E CITY AVE STE 235
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1710
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Country | US
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Telephone | 610-664-8200
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Fax | 866-267-4029
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Authorized Official
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Title or Position | OWNER
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Name | MOHAN J GURUBHAGAVATULA
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Credential | DO
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Telephone | 610-664-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS012602
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License Number State | PA
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