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General NPI Number Information
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NPI Number | 1740802800
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Entity Type | Individual
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Provider Name | CHRISTINE ANELLA GARNETT CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1700 S BROAD ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2340
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Country | US
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Telephone | 215-467-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 877 MARTIN AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3821
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Country | US
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Telephone | 215-589-5839
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP021689
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License Number State | PA
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