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General NPI Number Information
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NPI Number | 1003249897
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Entity Type | Individual
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Provider Name | JACKELYN L TURNER PT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 8008 ROUTE 130 STE A
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City | DELRAN
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State | NJ
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Zip | 08075-1869
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Country | US
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Telephone | 856-461-9393
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Fax | 856-824-1407
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Provider Business Mailing Address
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Address Line | 224 STRAWBRIDGE DR STE 100
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City | MOORESTOWN
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State | NJ
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Zip | 08057-4602
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Country | US
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Telephone | 856-677-4000
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Fax | 856-234-3014
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01503500
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License Number State | NJ
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