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General NPI Number Information
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NPI Number | 1558983189
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Entity Type | Individual
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Provider Name | JANE ATALLAH MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 71192 HIGHWAY 21 STE 100
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City | COVINGTON
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State | LA
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Zip | 70433-7161
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Country | US
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Telephone | 985-871-6020
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Fax | 985-898-7977
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA11919700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 348644
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License Number State | LA
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