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General NPI Number Information
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NPI Number | 1023040813
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Entity Type | Individual
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Provider Name | ..IRENE B. DAROCHA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 1210 PAGE TER
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City | VILLANOVA
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State | PA
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Zip | 19085-2132
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Country | US
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Telephone | 610-526-9942
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | WESTTOWN
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State | PA
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Zip | 19395-0537
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Country | US
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Telephone | 610-999-0780
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD039408E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD039408E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0057676
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License Number State | MD
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