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General NPI Number Information
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NPI Number | 1669701991
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Entity Type | Individual
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Provider Name | JO ANN PALMER CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 34TH STREET AND CIVIC CENTER BLVD. CHILDREN'S HOSPITAL OF PHILADELPHIA
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-590-6778
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Fax | 215-590-9317
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Provider Business Mailing Address
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Address Line | P. O. BOX 298 674 CAFFERTY RD
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City | OTTSVILLE
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State | PA
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Zip | 18942
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Country | US
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Telephone | 610-847-1925
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Fax | 215-590-9317
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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 | TP006705D
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License Number State | PA
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