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General NPI Number Information
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NPI Number | 1700311842
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Entity Type | Individual
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Provider Name | VIRGINIA FERVER PHDHP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 731 W CYPRESS ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-2419
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Country | US
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Telephone | 610-444-7550
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Fax | 610-444-4656
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Provider Business Mailing Address
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Address Line | 15 PARK LN
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City | EARLEVILLE
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State | MD
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Zip | 21919-1241
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Country | US
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Telephone | 443-553-2331
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Fax | 610-444-4656
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | PHDH000872
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License Number State | PA
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