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NPI 1326302126

NPI 1326302126 : PRISCILLA Z HOWIE D.P.M : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1326302126
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    Entity Type          |    Individual 
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    Provider Name        |    PRISCILLA Z HOWIE D.P.M
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2012
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    Last Update Date     |    08/06/2019
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Provider Practice Location Address
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    Address Line         |    1304 RHAWN ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19111-2870
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    Country              |    US
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    Telephone            |    215-742-1225
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17 JESSICA CT 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-2700
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    Country              |    US
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    Telephone            |    423-331-0185
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    SC006408
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    License Number State |    PA
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