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General NPI Number Information
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NPI Number | 1841588670
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Entity Type | Individual
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Provider Name | MARIA ALEJANDRA LAGARDE MUSSA MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD SUITE 363
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LOCUST ST APARTMENT 3318
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4329
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Country | US
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Telephone | 267-670-2150
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD453120
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT199423
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License Number State | PA
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