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General NPI Number Information
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NPI Number | 1669831996
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Entity Type | Organization
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Legal Business Name | JEFFEX, INC.
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 2301 S BROAD ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3542
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Country | US
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Telephone | 215-952-9384
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Fax | 215-952-1467
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Provider Business Mailing Address
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Address Line | 2301 S BROAD ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3542
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Country | US
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Telephone | 215-952-9384
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Fax | 215-952-1467
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD WEBSTER
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Credential | MSN, RN
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Telephone | 215-955-5085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP481395
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License Number State | PA
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