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NPI 1770510471

NPI 1770510471 : JEAN ANN JAEGER MD : HUDSON, NY

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General NPI Number Information
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    NPI Number           |    1770510471
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    Entity Type          |    Individual 
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    Provider Name        |    JEAN ANN JAEGER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2006
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    Last Update Date     |    11/17/2016
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Provider Practice Location Address
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    Address Line         |    2400 ROUTE 9 
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    City                 |    HUDSON
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    State                |    NY
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    Zip                  |    12534-4725
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    Country              |    US
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    Telephone            |    845-231-5600
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    Fax                  |    845-537-5977
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Provider Business Mailing Address
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    Address Line         |    110 S BEDFORD RD CAREMOUNT MEDICAL PC
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    City                 |    MOUNT KISCO
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    State                |    NY
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    Zip                  |    10549-3446
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    Country              |    US
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    Telephone            |    914-241-1050
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    Fax                  |    914-242-1516
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    188310
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    License Number State |    NY
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