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General NPI Number Information
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NPI Number | 1487819900
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Entity Type | Organization
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Legal Business Name | JEFFERSON UNIVERSITY PHYSICIANS
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 900 WALNUT STREET JEFFERSON HOSPITAL FOR NEUROSCIENCE
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-8039
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 WALNUT ST SCOTT BLDG., ROOM 539
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5543
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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 | SENIOR NEUROSURGERY CRNP
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Name | MS. JUDY GUARNIERI
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Credential | CRNP
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Telephone | 877-656-5609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | SP009706
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License Number State | PA
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