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General NPI Number Information
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NPI Number | 1295019552
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Entity Type | Individual
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Provider Name | PAMELA ANN REYNOLDS APN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 1810 HADDONFIELD BERLIN RD
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3736
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Country | US
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Telephone | 856-795-3313
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Fax | 888-898-2615
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N BLDG 10, SUITE 320
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 856-872-7055
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NN09518500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26NN09518500
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License Number State | NJ
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