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General NPI Number Information
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NPI Number | 1205985025
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Entity Type | Individual
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Provider Name | DANA JAMMER WEYRICK CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-662-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 2751 S DIXIE HWY STE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-1233
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Country | US
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Telephone | 561-253-3980
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TP004726X
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License Number State | PA
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