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General NPI Number Information
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NPI Number | 1861714644
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Entity Type | Individual
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Provider Name | DESIREE SOKOLI APN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1316 W ONTARIO ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5220
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Country | US
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Telephone | 215-707-2400
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Fax | 215-707-4034
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Provider Business Mailing Address
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Address Line | 3500 N BROAD ST RM 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4106
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Country | US
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Telephone | 215-926-9019
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 26NJ00279600
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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 | SP028692
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License Number State | PA
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