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General NPI Number Information
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NPI Number | 1336662469
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Entity Type | Individual
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Provider Name | JASMINE STEELE MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD DEPT OF
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 267-426-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD DEPT OF
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 267-426-7789
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 286947
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 25MA11984200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD482673
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License Number State | PA
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