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General NPI Number Information
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NPI Number | 1730431610
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Entity Type | Individual
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Provider Name | ANASTASIA SCHWAB PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 255 S 17TH ST SUITE 2101
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-875-9710
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Fax | 215-875-9714
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Provider Business Mailing Address
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Address Line | 2450 W. HUNTING PARK AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19129
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Country | US
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Telephone | 215-707-8561
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Fax | 215-707-3677
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA055698
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License Number State | PA
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