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General NPI Number Information
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NPI Number | 1700890829
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Entity Type | Individual
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Provider Name | JENNIFER J POSTLEWAITE MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 332 CONGRESS PARK DR
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City | DAYTON
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State | OH
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Zip | 45459-4133
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Country | US
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Telephone | 180-072-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 WAGON WHEEL WAY
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City | TROY
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State | OH
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Zip | 45373-8934
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Country | US
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Telephone | 937-332-8513
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.073430
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License Number State | OH
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