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General NPI Number Information
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NPI Number | 1427156017
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Entity Type | Individual
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Provider Name | ANA MARIA LOPEZ MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 925 CHESTNUT ST STE 320A
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-8874
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Fax | 215-955-2340
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Provider Business Mailing Address
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Address Line | 127 SO. 500 EAST #600
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1971
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Country | US
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Telephone | 801-587-6705
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Fax | 801-715-8228
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 19379
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA10370700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD464121
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License Number State | PA
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