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General NPI Number Information
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NPI Number | 1144549338
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Entity Type | Individual
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Provider Name | TERESE MARIE METZGER CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | BROAD & VINE STS
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-762-3842
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 NEW HOPE ST
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City | EAST NORRITON
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State | PA
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Zip | 19401-2022
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Country | US
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Telephone | 610-731-0172
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | VP00552
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License Number State | PA
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