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General NPI Number Information
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NPI Number | 1598580698
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Entity Type | Organization
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Legal Business Name | INNOVATIVE TRAINING AND HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3718 CHURCH RD
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-1104
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Country | US
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Telephone | 609-828-0524
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S 2ND ST APT GU-06
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2435
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Country | US
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Telephone | 609-605-7836
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRACY LANOZA
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Credential | APN
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Telephone | 609-828-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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