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General NPI Number Information
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NPI Number | 1013941574
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Entity Type | Individual
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Provider Name | MAUREEN BRIGID DEVER CRNP, ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FRONT STREET & ERIE AVENUE ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 1276 LAUREL LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-3218
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Country | US
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Telephone | 215-914-0882
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP006594D
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License Number State | PA
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