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General NPI Number Information
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NPI Number | 1801772595
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Entity Type | Individual
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Provider Name | SHREYA PATEL CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 676 DEKALB PIKE STE 104
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City | BLUE BELL
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State | PA
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Zip | 19422-1223
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Country | US
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Telephone | 215-997-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 CORA LN
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City | SOUDERTON
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State | PA
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Zip | 18964-2621
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Country | US
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Telephone | 267-638-8311
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP033586
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License Number State | PA
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