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General NPI Number Information
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NPI Number | 1548402159
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Entity Type | Individual
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Provider Name | PAMELA ELIZABETH THOMAS CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 609 W GERMANTOWN PIKE STE 210
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City | EAST NORRITON
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State | PA
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Zip | 19403-4251
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Country | US
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Telephone | 610-649-1175
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Fax | 610-896-8753
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE STE 130
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3453
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Country | US
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Telephone | 610-649-1175
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Fax | 610-896-8753
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP009404
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP009404
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License Number State | PA
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