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General NPI Number Information
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NPI Number | 1427295765
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Entity Type | Individual
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Provider Name | JUDITH MUNSON DOELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 34TH STREET AND CIVIC CENTER BOULEVARD CHILDRENS HOSPITAL OF PHILADELPHIA; WOOD CENTER 4TH FLO
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 267-426-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 MUIRFIELD RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8946
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Country | US
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Telephone | 610-665-4330
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP008433
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP008574
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License Number State | PA
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