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General NPI Number Information
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NPI Number | 1831300243
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Entity Type | Individual
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Provider Name | MEREDITH CRISP DUFFY MD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 2 COOPER PLZ 400 HADDON AVE
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City | CAMDEN
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State | NJ
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Zip | 08103-1461
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Country | US
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Telephone | 855-632-2667
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Fax | 856-325-6643
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-968-7433
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Fax | 856-968-8499
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MA08274000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | ME90899
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License Number State | FL
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