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General NPI Number Information
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NPI Number | 1649256280
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Entity Type | Individual
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Provider Name | NURIA LOPEZ-PAJARES MD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 133 W HUNTING PARK AVE SUITE 300-A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2717
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Country | US
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Telephone | 215-324-0600
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Fax | 215-324-2795
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Provider Business Mailing Address
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Address Line | PO BOX 820933
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0933
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Country | US
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Telephone | 215-324-0600
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Fax | 215-324-2796
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD 069596L
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License Number State | PA
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