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General NPI Number Information
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NPI Number | 1790203669
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Entity Type | Organization
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Legal Business Name | DREXEL UNIVERSITY
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 09/06/2017
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Provider Practice Location Address
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Address Line | 1601 CHERRY ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1306
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Country | US
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Telephone | 215-255-7822
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Fax | 215-255-7825
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Provider Business Mailing Address
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Address Line | 1601 CHERRY ST STE 11511
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1310
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Country | US
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Telephone | 215-255-7822
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Fax | 215-255-7825
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY KUKLA
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Credential |
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Telephone | 215-255-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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