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General NPI Number Information
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NPI Number | 1285187260
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Entity Type | Individual
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Provider Name | MARIANNA DILOYAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 9501 ROOSEVELT BLVD SUITE 206
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1025
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Country | US
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Telephone | 215-671-8900
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Fax | 215-671-1272
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Provider Business Mailing Address
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Address Line | 9501 ROOSEVELT BLVD SUITE 206
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1025
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Country | US
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Telephone | 215-671-8900
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Fax | 215-671-1272
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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 | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | RN618691
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP016276
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License Number State | PA
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