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General NPI Number Information
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NPI Number | 1588657738
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Entity Type | Individual
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Provider Name | NANCY J.M. POLIN MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 345 N YORK RD
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City | HATBORO
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State | PA
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Zip | 19040-2045
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Country | US
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Telephone | 215-675-1516
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Fax | 215-675-9176
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Provider Business Mailing Address
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Address Line | 322 WINDY RUN RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2373
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Country | US
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Telephone | 215-489-0538
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Fax | 215-489-0538
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VP002007C
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License Number State | PA
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