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General NPI Number Information
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NPI Number | 1457721235
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Entity Type | Individual
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Provider Name | PRIYANKA JINDAL CRNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 907 CHESTER PIKE
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City | SHARON HILL
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State | PA
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Zip | 19079-1411
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Country | US
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Telephone | 610-715-0127
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 BALTIMORE AVE APARTMENT NUMBER 3F
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2040
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Country | US
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Telephone | 267-240-5579
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP015334
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License Number State | PA
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