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General NPI Number Information
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NPI Number | 1063630069
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Entity Type | Individual
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Provider Name | REGINA MASTRANGELO I CMF
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 36 CHESTNUT RD
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City | PAOLI
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State | PA
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Zip | 19301-1565
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Country | US
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Telephone | 610-296-7626
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Fax | 610-296-7620
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Provider Business Mailing Address
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Address Line | 828 HINCHLEY RUN
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City | WEST CHESTER
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State | PA
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Zip | 19382-7984
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Country | US
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Telephone | 610-344-7112
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Fax | 610-296-7620
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 070355UO
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License Number State |
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