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General NPI Number Information
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NPI Number | 1487021341
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Entity Type | Individual
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Provider Name | JESSICA SUZANNE DEUTSCH CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PKWY PEDIATRICS
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 443-481-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 205 HIGHLAND AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-6434
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Country | US
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Telephone | 410-458-7541
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95002977
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License Number State | CA
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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 | R182341
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License Number State | MD
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