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NPI 1487379178

NPI 1487379178 : ANNA CATHERINE SCHWEIDLER PA-C : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1487379178
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA CATHERINE SCHWEIDLER PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2022
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    Last Update Date     |    10/05/2022
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Provider Practice Location Address
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    Address Line         |    51 N 39TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-2640
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    Country              |    US
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    Telephone            |    215-662-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 WASHINGTON ST APT 579 
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    City                 |    CONSHOHOCKEN
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    State                |    PA
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    Zip                  |    19428-2553
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    Country              |    US
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    Telephone            |    610-425-8535
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    MA063781
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    License Number State |    PA
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