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General NPI Number Information
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NPI Number | 1629081682
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Entity Type | Individual
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Provider Name | WILLIAM L JAFFEE MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1941 LIMESTONE ROAD SUITE 107
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 302-998-2166
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Fax | 302-998-1525
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVENUE SUITE 126
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City | NEWARK
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State | DE
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Zip | 19702
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Country | US
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Telephone | 302-836-0100
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Fax | 302-836-5244
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C10001746
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License Number State | DE
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