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General NPI Number Information
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NPI Number | 1477282747
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Entity Type | Individual
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Provider Name | JEFFREY MONK PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 484-476-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3803 W CHESTER PIKE STE 160
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2336
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA063584
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA063584
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License Number State | PA
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