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General NPI Number Information
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NPI Number | 1689721458
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Entity Type | Individual
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Provider Name | ELIZABETH ANN FALLON RN., MSN.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1062 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-1552
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Country | US
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Telephone | 610-525-1510
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Fax |
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Provider Business Mailing Address
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Address Line | 645 SHERMAN RD
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3437
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Country | US
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Telephone | 610-544-0742
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN0948921
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License Number State | PA
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