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General NPI Number Information
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NPI Number | 1750049706
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Entity Type | Individual
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Provider Name | MARIE ELIZABETH VEGLIANTE CNRP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2 INDUSTRIAL BLVD STE 100
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City | PAOLI
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State | PA
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Zip | 19301-1645
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Country | US
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Telephone | 610-407-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2 INDUSTRIAL BLVD STE 100
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City | PAOLI
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State | PA
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Zip | 19301-1645
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 12441775-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN650054
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12441775-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 12441775-4405
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP030714
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License Number State | PA
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