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General NPI Number Information
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NPI Number | 1790408292
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Entity Type | Individual
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Provider Name | JENNY JIN JANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 1648 HUNTINGDON PIKE
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8001
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Country | US
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Telephone | 833-327-9791
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Fax | 215-544-5858
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Provider Business Mailing Address
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Address Line | 1970 AUDUBON DR
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City | DRESHER
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State | PA
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Zip | 19025-1920
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Country | US
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Telephone | 267-472-0526
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP447733
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License Number State | PA
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