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General NPI Number Information
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NPI Number | 1336493246
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Entity Type | Individual
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Provider Name | CHERYL L POWELL PA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4551
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Country | US
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Telephone | 215-823-5800
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Fax | 215-823-4538
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Provider Business Mailing Address
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Address Line | 303 CHAPEL AVE
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City | CLAYMONT
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State | DE
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Zip | 19703-3209
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Country | US
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Telephone | 717-880-8735
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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 | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number | MA055856
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA055856
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License Number State | PA
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