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General NPI Number Information
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NPI Number | 1134221005
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Entity Type | Individual
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Provider Name | BARBARA MIRTH-JACOBELLI DO
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 1382 NEWTOWN LANGHORNE RD
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City | NEWTOWN
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State | PA
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Zip | 18940-2401
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Country | US
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Telephone | 215-968-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 96 N MAIN ST
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City | YARDLEY
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State | PA
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Zip | 19067-1441
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Country | US
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Telephone | 215-493-0133
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | OS-005122L
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License Number State | PA
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