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General NPI Number Information
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NPI Number | 1265394811
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Entity Type | Individual
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Provider Name | JESSICA METZGAR
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1224 7TH AVE
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City | ALTOONA
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State | PA
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Zip | 16602-2402
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Country | US
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Telephone | 814-944-8784
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 16TH AVE
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City | ALTOONA
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State | PA
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Zip | 16601-2340
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | SP034671
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License Number State | PA
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