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General NPI Number Information
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NPI Number | 1316051246
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Entity Type | Individual
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Provider Name | JANE H. BRICK MSN,CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE PHILADELPHIA VETERANS AFFAIR MEDICAL CENTER
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4551
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Country | US
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Telephone | 215-823-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 319 REILLYWOOD AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-2205
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Country | US
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Telephone | 856-428-5389
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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 | VP000796H
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NN02245800
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License Number State | NJ
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