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NPI 1336353614

NPI 1336353614 : JANIE ZIMMER WEISBECKER C.R.N.P. : CHALFONT, PA

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General NPI Number Information
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    NPI Number           |    1336353614
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    Entity Type          |    Individual 
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    Provider Name        |    JANIE ZIMMER WEISBECKER C.R.N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    10/13/2014
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Provider Practice Location Address
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    Address Line         |    1300 HORIZON DRIVE SUITE 101
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    City                 |    CHALFONT
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    State                |    PA
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    Zip                  |    18914
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    Country              |    US
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    Telephone            |    215-712-2545
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    Fax                  |    215-712-2540
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Provider Business Mailing Address
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    Address Line         |    1300 HORIZON DRIVE SUITE 101
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    City                 |    CHALFONT
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    State                |    PA
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    Zip                  |    18914
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    Country              |    US
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    Telephone            |    215-712-2545
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    Fax                  |    215-712-2540
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    SP006907C
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    License Number State |    PA
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