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General NPI Number Information
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NPI Number | 1043086051
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Entity Type | Individual
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Provider Name | JENNIFER SIMCHAK FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 339 6TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15222-2517
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Country | US
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Telephone | 866-227-2920
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Fax |
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Provider Business Mailing Address
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Address Line | 102 HERBST RD
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City | CORAOPOLIS
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State | PA
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Zip | 15108-3622
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Country | US
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Telephone | 843-304-0126
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP027578
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP027578
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License Number State | PA
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