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General NPI Number Information
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NPI Number | 1144257502
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Entity Type | Individual
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Provider Name | KENDRA WALKER SIROLLY MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 281 WITHERSPOON ST STE 200
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City | PRINCETON
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State | NJ
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Zip | 08540-3224
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Country | US
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Telephone | 609-924-4892
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Fax | 877-409-2156
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N STE 320
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City | MARLTON
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State | NJ
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Zip | 08053-3426
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Country | US
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Telephone | 609-924-4892
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Fax | 877-409-2156
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD427522
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA09908100
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License Number State | NJ
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