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General NPI Number Information
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NPI Number | 1508403569
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Entity Type | Individual
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Provider Name | GALYNA VOROKHIB CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 9501 ROOSEVELT BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1025
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Country | US
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Telephone | 215-671-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVE STE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2470
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Country | US
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Telephone | 215-456-7000
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP021244
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License Number State | PA
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