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General NPI Number Information
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NPI Number | 1518553262
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Entity Type | Individual
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Provider Name | ANTHONY STEIDLER CRNP
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Gender | Male
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 5001 TOWNSHIP LINE RD
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City | DREXEL HILL
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State | PA
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Zip | 19026-4821
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Country | US
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Telephone | 610-853-2962
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 PINE ST APT C303
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1735
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Country | US
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Telephone | 254-226-2764
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP022604
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP022604
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License Number State | PA
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