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General NPI Number Information
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NPI Number | 1992904072
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Entity Type | Individual
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Provider Name | COURTNEY LEIGH HOEY MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 111 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-5412
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Fax |
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Provider Business Mailing Address
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Address Line | 275 PENNS WAY
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-3029
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Country | US
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Telephone | 267-257-9473
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT190499
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA09260300
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License Number State | NJ
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