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General NPI Number Information
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NPI Number | 1417107624
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Entity Type | Individual
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Provider Name | NEFERTITI RASHIDAH ISOKE RN, LCSW, CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1700 SANSOM ST FL 6
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5214
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Country | US
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Telephone | 484-775-0553
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Fax |
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Provider Business Mailing Address
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Address Line | 2943 OLD WELSH RD 2
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City | WILLOW GROVE
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State | PA
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Zip | 19090-3835
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Country | US
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Telephone | 610-931-2010
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW016397
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN733119
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406157
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | MI9390749
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NPPA066194
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031492
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License Number State | PA
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