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General NPI Number Information
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NPI Number | 1275732059
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Entity Type | Individual
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Provider Name | JENNIFER ANNE BRACKNEY D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 470 JOHNSON RD STE 110
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City | WASHINGTON
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State | PA
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Zip | 15301-8944
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Country | US
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Telephone | 724-579-7000
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Fax | 724-579-7001
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Provider Business Mailing Address
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Address Line | 470 JOHNSON RD STE 110
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City | WASHINGTON
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State | PA
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Zip | 15301-8944
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Country | US
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Telephone | 724-579-7000
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Fax | 724-579-7001
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4814
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS014112
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License Number State | PA
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