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General NPI Number Information
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NPI Number | 1356375711
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Entity Type | Individual
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Provider Name | LISA M. NOCERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 1 W ELM ST SUITE 100
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 610-567-5141
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Fax | 610-567-6955
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-710-7037
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Fax | 215-710-5181
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD048125L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD048125L
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License Number State | PA
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