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NPI 1427023811

NPI 1427023811 : DAVID FRANKLIN JAFFE MD : HAVRE DE GRACE, MD

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General NPI Number Information
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    NPI Number           |    1427023811
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID FRANKLIN JAFFE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/21/2006
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    Last Update Date     |    02/16/2023
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Provider Practice Location Address
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    Address Line         |    323 S UNION AVE 
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    City                 |    HAVRE DE GRACE
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    State                |    MD
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    Zip                  |    21078-3201
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    Country              |    US
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    Telephone            |    410-939-0961
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    Fax                  |    410-939-7832
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Provider Business Mailing Address
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    Address Line         |    7300 RANCH ROAD 2222, BLDG 1, STE 200 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78730-3255
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    Country              |    US
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    Telephone            |    512-759-8932
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    Fax                  |    512-233-2711
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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        |    207ND0900X
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    Taxonomy Name        |    Dermatopathology Physician
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    License Number       |    D0045614
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    207NI0002X
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    Taxonomy Name        |    Clinical & Laboratory Dermatological Immunology Physician
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    License Number       |    D0045614
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    207NP0225X
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    Taxonomy Name        |    Pediatric Dermatology Physician
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    License Number       |    D0045614
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    License Number State |    MD
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Taxonomy #4
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    D0045614
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    License Number State |    MD
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