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General NPI Number Information
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NPI Number | 1053319574
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Entity Type | Individual
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Provider Name | JEFFREY L POLLOCK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 2600 PHILMONT AVE STE 309
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5309
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Country | US
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Telephone | 215-938-1700
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Fax | 215-947-7546
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Provider Business Mailing Address
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Address Line | 227 HILLTOP DR
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City | CHURCHVILLE
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State | PA
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Zip | 18966-1325
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Country | US
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Telephone | 215-357-7546
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Fax | 215-357-3924
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD019556E
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License Number State | PA
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