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General NPI Number Information
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NPI Number | 1013311034
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Entity Type | Individual
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Provider Name | JOHANNA TROY
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 125 S 9TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5125
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Country | US
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Telephone | 215-985-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 MARKET ST FL 17
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-945-8775
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN648670
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26R22309700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP021682
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ01115300
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP021682
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License Number State | PA
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