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General NPI Number Information
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NPI Number | 1073412607
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Entity Type | Individual
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Provider Name | HAWANATU Z BANGURA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2215 ISLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1009
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Country | US
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Telephone | 445-208-4342
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Fax |
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Provider Business Mailing Address
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Address Line | 59 MARTIN LN
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City | NORWOOD
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State | PA
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Zip | 19074-1026
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Country | US
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Telephone | 445-208-4342
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN783891
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License Number State | PA
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