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General NPI Number Information
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NPI Number | 1083181499
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Entity Type | Individual
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Provider Name | JENNIFER ADLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 12466 JACKSON AVE
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City | WAYNESBORO
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State | PA
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Zip | 17268-4006
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Country | US
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Telephone | 240-772-2536
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 OPAL CT
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5940
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Country | US
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Telephone | 301-733-4496
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Fax | 301-733-0963
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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 | R186435
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License Number State | MD
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