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General NPI Number Information
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NPI Number | 1417538232
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Entity Type | Individual
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Provider Name | DANIELLE ASTARITA DO
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Gender | Female
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 17 STATE RT 23 N
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City | HAMBURG
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State | NJ
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Zip | 07419-1419
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Country | US
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Telephone | 973-827-7800
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Fax | 973-209-7855
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Provider Business Mailing Address
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Address Line | PO BOX 95000, LB#7550
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone | 844-362-1735
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB12383200
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License Number State | NJ
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