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General NPI Number Information
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NPI Number | 1457670309
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Entity Type | Individual
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Provider Name | DANIELLE DOLORES FORSTER D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 300 E LANCASTER AVE STE 201B
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2146
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Country | US
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Telephone | 215-874-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY DRIVE
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 800-243-1455
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 34.011477
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS016538
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License Number State | PA
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