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General NPI Number Information
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NPI Number | 1639550601
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Entity Type | Individual
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Provider Name | ANNA DICARLO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 1000 HADDONFIELD BERLIN RD STE 210
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City | VOORHEES
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State | NJ
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Zip | 08043-3520
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Country | US
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Telephone | 856-782-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 HADDONFIELD BERLIN RD STE 210
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City | VOORHEES
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State | NJ
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Zip | 08043-3520
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Country | US
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Telephone | 856-782-2212
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301107798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD473215
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License Number State | PA
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