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NPI 1912912379

NPI 1912912379 : CERTIFIED HEALTHCARE PROFESSIONALS : HAVERTOWN, PA

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General NPI Number Information
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    NPI Number           |    1912912379
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    Entity Type          |    Organization 
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    Legal Business Name  |    CERTIFIED HEALTHCARE PROFESSIONALS 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    05/08/2013
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Provider Practice Location Address
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    Address Line         |    1729 JOSIE LN 
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    City                 |    HAVERTOWN
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    State                |    PA
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    Zip                  |    19083-1218
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    Country              |    US
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    Telephone            |    610-955-7421
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    Fax                  |    866-446-8819
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Provider Business Mailing Address
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    Address Line         |    PO BOX 30 
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    City                 |    ARDMORE
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    State                |    PA
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    Zip                  |    19003
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    Country              |    US
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    Telephone            |    610-955-7421
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    Fax                  |    866-446-8819
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Authorized Official
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    Title or Position    |    PRES/CEO
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    Name                 |     CHRISTYNE C PRICE 
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    Credential           |    MHA
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    Telephone            |    610-955-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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