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General NPI Number Information
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NPI Number | 1811722663
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Entity Type | Individual
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Provider Name | MAURA COMBER
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1246 W CHESTER PIKE STE 303
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City | WEST CHESTER
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State | PA
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Zip | 19382-5683
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Country | US
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Telephone | 610-692-2605
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Fax |
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N STE 320
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City | MARLTON
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State | NJ
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Zip | 08053-3426
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Country | US
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Telephone | 856-872-7055
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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 | SP030538
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP030538
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License Number State | PA
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