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General NPI Number Information
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NPI Number | 1710213152
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Entity Type | Individual
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Provider Name | LORETTA A CONNAUGHTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 722 E BUTLER PIKE
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City | AMBLER
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State | PA
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Zip | 19002-2310
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Country | US
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Telephone | 609-890-1050
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Fax | 609-890-0950
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Provider Business Mailing Address
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Address Line | 722 E BUTLER PIKE
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City | AMBLER
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State | PA
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Zip | 19002-2310
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Country | US
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Telephone | 215-643-7800
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA000501L
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License Number State | PA
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