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General NPI Number Information
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NPI Number | 1013166198
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Entity Type | Individual
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Provider Name | TANDALAYA SARAH CANNON-PHILLIPS SEERS LAMA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 714 RHAWN ST APT 12A
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2513
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Country | US
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Telephone | 215-725-0648
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Fax | 267-467-0046
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Provider Business Mailing Address
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Address Line | 714 RHAWN ST APT 12A
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2513
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Country | US
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Telephone | 215-725-0648
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Fax | 267-467-0046
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246R00000X
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Taxonomy Name | Pathology Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2470A2800X
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Taxonomy Name | Assistant Health Information Record Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | CNA 9994672
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License Number State | PA
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