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General NPI Number Information
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NPI Number | 1356096531
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Entity Type | Individual
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Provider Name | JENNIFER MARIE LOCONSOLE CRNP, RN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3607
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Country | US
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Telephone | 302-298-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 112 W 11TH AVE
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1418
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Country | US
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Telephone | 215-290-0410
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN651476
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP023946
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | L1-0049163
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License Number State | DE
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