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General NPI Number Information
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NPI Number | 1346189099
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Entity Type | Individual
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Provider Name | CHANCELINE OLIVE DJIOFACK
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Gender | Female
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 201 W CHESTER PIKE APT 1
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City | RIDLEY PARK
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State | PA
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Zip | 19078-1508
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Country | US
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Telephone | 267-979-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W CHESTER PIKE APT 1
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City | RIDLEY PARK
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State | PA
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Zip | 19078-1508
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Country | US
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Telephone | 267-929-3210
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | SP032787
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License Number State | PA
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