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General NPI Number Information
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NPI Number | 1235824343
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Entity Type | Individual
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Provider Name | AISHA ABAS MOMOH
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 45 DARBY RD STE E4OFC3
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City | PAOLI
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State | PA
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Zip | 19301-1475
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Country | US
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Telephone | 484-820-4470
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Fax | 484-328-6377
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Provider Business Mailing Address
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Address Line | 2832 DEKALB PIKE # 1136
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City | EAST NORRITON
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State | PA
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Zip | 19401-1823
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Country | US
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Telephone | 484-820-4470
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Fax | 484-328-6377
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN733479
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP027429
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License Number State | PA
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