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General NPI Number Information
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NPI Number | 1891251609
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Entity Type | Individual
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Provider Name | TAWANAHA T STOKES CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2019
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 2501 W LEHIGH AVE
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City | PHILA
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State | PA
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Zip | 19132-3207
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Country | US
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Telephone | 215-227-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 918 E ROUMFORT RD
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City | PHILA
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State | PA
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Zip | 19150-3216
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Country | US
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Telephone | 267-278-7974
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP020022
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License Number State | PA
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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 | SP020022
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License Number State | PA
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