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General NPI Number Information
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NPI Number | 1598817108
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Entity Type | Individual
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Provider Name | LISA A NERI MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 51 VALLEY STREAM PKWY STE 1000
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City | MALVERN
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State | PA
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Zip | 19355-1406
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Country | US
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Telephone | 833-692-6882
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Fax | 601-651-2705
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Provider Business Mailing Address
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Address Line | 208 MARY HILL ROAD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460
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Country | US
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Telephone | 610-917-0454
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP006022B
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License Number State | PA
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