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General NPI Number Information
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NPI Number | 1497556062
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Entity Type | Individual
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Provider Name | RODRERICA CHRISTIE THERMITUS CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 725 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1210
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Country | US
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Telephone | 215-427-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CHESTNUT ST STE 1226
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2737
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Country | US
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Telephone | 267-939-0896
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | SP031971
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License Number State | PA
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