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General NPI Number Information
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NPI Number | 1699925081
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Entity Type | Individual
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Provider Name | VICTORIA A CONN MD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 8540 VERREE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19111-1399
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Country | US
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Telephone | 267-609-1905
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Fax | 267-609-1993
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Provider Business Mailing Address
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Address Line | 8540 VERREE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19111-1399
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Country | US
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Telephone | 267-609-1905
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Fax | 267-609-1993
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD058941L
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License Number State | PA
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