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General NPI Number Information
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NPI Number | 1346256963
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Entity Type | Individual
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Provider Name | CHERYL A HLAVAC MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 402 MCFARLAN RD SUITE 102
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-2453
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Country | US
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Telephone | 614-444-5678
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Fax | 614-444-1738
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Provider Business Mailing Address
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Address Line | 402 MCFARLAN RD SUITE 102
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-2453
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Country | US
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Telephone | 610-444-5678
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Fax | 610-444-1738
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD033944E
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License Number State | PA
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