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General NPI Number Information
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NPI Number | 1538116041
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Entity Type | Individual
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Provider Name | PAMELA A CRILLEY DO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2 CAPITAL WAY STE 220
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City | PENNINGTON
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State | NJ
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Zip | 08534-2523
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Country | US
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Telephone | 609-303-0747
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Fax | 609-303-0771
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Provider Business Mailing Address
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Address Line | 1601 CHERRY ST SUITE 11511
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1320
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Country | US
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Telephone | 215-255-7822
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Fax | 215-255-7825
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MB11267100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0S004378L
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License Number State | PA
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