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General NPI Number Information
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NPI Number | 1427767565
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Entity Type | Individual
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Provider Name | SHEENA WESLEY
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 2008 FAIRMOUNT AVE 3RD FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2641
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Country | US
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Telephone | 302-293-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 135 TRUPENNY TURN
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City | MIDDLETOWN
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State | DE
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Zip | 19709-8621
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Country | US
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Telephone | 302-293-1783
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 67783601
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License Number State | PA
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