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General NPI Number Information
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NPI Number | 1003349838
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Entity Type | Individual
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Provider Name | ROSALIND USHER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 215-590-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 42 S 15TH ST UNIT 1601
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2208
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Country | US
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Telephone | 404-518-9969
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | MT219689
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License Number State | PA
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