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General NPI Number Information
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NPI Number | 1588769814
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Entity Type | Individual
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Provider Name | WENDY HOBBIE CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4306
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Country | US
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Telephone | 215-590-4562
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Fax |
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Provider Business Mailing Address
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Address Line | 621 CEDAR LN
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City | VILLANOVA
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State | PA
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Zip | 19085-1803
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Country | US
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Telephone | 610-581-0540
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | TP001032D
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WP0218X
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Taxonomy Name | Pediatric Oncology Registered Nurse
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License Number | RN251937L
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License Number State | PA
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