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General NPI Number Information
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NPI Number | 1689501744
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Entity Type | Individual
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Provider Name | TRACI POWELL RN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 100 BOWMAN DR
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City | VOORHEES
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State | NJ
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Zip | 08043-9612
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Country | US
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Telephone | 856-247-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 937 CARTER AVE
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City | BELLMAWR
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State | NJ
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Zip | 08031-1627
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Country | US
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Telephone | 609-267-0700
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | NJ26N011533400
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License Number State | NJ
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