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General NPI Number Information
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NPI Number | 1275682668
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Entity Type | Individual
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Provider Name | ERIN B PRESTON MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | JEFFERSON FACULTY PEDS DUPONT CHILDRENS HLTH PROGRAM 833 CHESTNUT STREET EAST SUITE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-6000
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Fax | 215-923-4267
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Provider Business Mailing Address
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Address Line | CORPORATE CREDENTIALING P.O. BOX 269
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City | WILMINGTON
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State | DE
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Zip | 19899
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Country | US
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Telephone | 302-651-5938
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Fax | 302-651-6077
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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 | C10007178
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD421636
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License Number State | PA
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