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General NPI Number Information
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NPI Number | 1699500371
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Entity Type | Individual
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Provider Name | NADJA SIMONE JEFFERIES
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 379 UTAH AVE
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-4056
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Country | US
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Telephone | 878-256-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 379 UTAH AVE
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-4056
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Country | US
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Telephone | 878-256-1410
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 65593601
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License Number State | PA
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