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General NPI Number Information
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NPI Number | 1821632761
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Entity Type | Individual
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Provider Name | SAFI M KPODI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 725 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1210
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Country | US
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Telephone | 215-427-6987
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Fax | 215-291-1715
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Provider Business Mailing Address
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Address Line | 125 GAITHER DR STE K
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-1706
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Country | US
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Telephone | 610-365-1492
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | F07191248
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License Number State | PA
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