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NPI 1912688474

NPI 1912688474 : PRISCILLA SONGATE APRN : SEAFORD, DE

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General NPI Number Information
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    NPI Number           |    1912688474
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    Entity Type          |    Individual 
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    Provider Name        |    PRISCILLA SONGATE APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2023
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    Last Update Date     |    10/16/2024
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Provider Practice Location Address
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    Address Line         |    801 MIDDLEFORD RD 
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    City                 |    SEAFORD
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    State                |    DE
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    Zip                  |    19973-3636
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    Country              |    US
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    Telephone            |    302-629-6611
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    116 TILDEN RD 
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    City                 |    MOHRSVILLE
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    State                |    PA
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    Zip                  |    19541-9009
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    Country              |    US
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    Telephone            |    484-336-4829
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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        |    163WE0003X
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    Taxonomy Name        |    Emergency Registered Nurse
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    License Number       |    476365
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    LP-0010704
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    License Number State |    DE
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    LP-0010704
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    License Number State |    DE
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