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General NPI Number Information
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NPI Number | 1225792583
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Entity Type | Organization
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Legal Business Name | EDWARD JENNY & ASSOCIATES PC
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Dates
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Enumeration Date | 10/23/2021
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 8 FEDERAL RD STE 2
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City | WEST GROVE
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State | PA
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Zip | 19390-9316
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Country | US
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Telephone | 610-444-6089
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Fax | 833-471-3277
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Provider Business Mailing Address
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Address Line | 8 FEDERAL RD STE 2
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City | WEST GROVE
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State | PA
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Zip | 19390-9316
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Country | US
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Telephone | 610-444-6089
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Fax | 833-471-3277
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Authorized Official
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Title or Position | CEO
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Name | DR. EDWARD BRIAN JENNY
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Credential | PSY.D.
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Telephone | 610-444-6089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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