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General NPI Number Information
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NPI Number | 1568553048
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Entity Type | Individual
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Provider Name | JEFFREY WOLOSHIN
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 301 OXFORD VALLEY RD
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City | YARDLEY
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State | PA
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Zip | 19067-7706
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Country | US
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Telephone | 215-321-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 370 LANG CT
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City | YARDLEY
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State | PA
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Zip | 19067-4756
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD042409-L
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License Number State | PA
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