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General NPI Number Information
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NPI Number | 1144646977
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Entity Type | Individual
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Provider Name | APRIL TIFFANY WRIGHT PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4551
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Country | US
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Telephone | 215-823-5800
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Fax | 215-823-6312
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Provider Business Mailing Address
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Address Line | 6607 QUINCY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2719
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Country | US
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Telephone | 267-270-7211
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA003260
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0012127
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA056750
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License Number State | PA
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