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General NPI Number Information
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NPI Number | 1750154704
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Entity Type | Individual
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Provider Name | ALANA PAIGE HOMAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1300 WOLF ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2912
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Country | US
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Telephone | 215-955-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SHOEMAKER DR
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1257
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Country | US
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Telephone | 609-501-9010
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | SP028573
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP028573
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License Number State | PA
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