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General NPI Number Information
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NPI Number | 1831497601
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Entity Type | Individual
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Provider Name | AISHA AYANNA ADDISON
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Gender | Female
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2418 E YORK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3006
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Country | US
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Telephone | 302-273-3926
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Fax | 609-604-1325
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Provider Business Mailing Address
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Address Line | 525 ROUTE 73 N STE 117
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City | MARLTON
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State | NJ
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Zip | 08053-3422
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Country | US
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Telephone | 302-273-3926
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Fax | 609-604-1325
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ008494
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011279
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG0001115
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP026645
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | LG0001115
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ008494
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License Number State | NJ
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