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General NPI Number Information
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NPI Number | 1588359103
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Entity Type | Individual
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Provider Name | MARKEITIA PURVIS RN
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 5548 BOYER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-2306
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Country | US
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Telephone | 267-976-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 229 W UPSAL ST APT B06
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City | PHILADELPHIA
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State | PA
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Zip | 19119-4001
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Country | US
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Telephone | 215-279-0903
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 718366
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 718366
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 718366
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 718366
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 718388
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 718366
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 718366
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License Number State | PA
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