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General NPI Number Information
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NPI Number | 1194146118
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Entity Type | Individual
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Provider Name | MR. ROBERT HOWARD III
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Gender | Male
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 901 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5214
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Country | US
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Telephone | 215-503-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 901 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5214
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP013529
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP013529
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP013529
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030692
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License Number State | PA
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