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General NPI Number Information
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NPI Number | 1790139608
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Entity Type | Individual
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Provider Name | JILLIAN PILOTTI CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 10800 KNIGHTS RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114
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Country | US
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Telephone | 215-612-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 MARYLAND RD STE 504
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1226
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Country | US
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Telephone | 215-481-6872
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Fax | 215-481-3985
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP016010
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License Number State | PA
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