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General NPI Number Information
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NPI Number | 1639129976
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Entity Type | Individual
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Provider Name | JOANNE E CONNELL MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1456 FERRY ROAD SUITE 600
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City | FOUNTAINVILLE
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State | PA
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Zip | 18923
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Country | US
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Telephone | 215-230-8390
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Fax | 215-230-8392
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Provider Business Mailing Address
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Address Line | PO BOX 829641
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0001
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Country | US
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Telephone | 267-370-5296
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Fax | 215-230-3725
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-426360
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License Number State | PA
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