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General NPI Number Information
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NPI Number | 1841725470
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Entity Type | Individual
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Provider Name | JODI LAUGHLIN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 401 YOUNG AVE SUITE 180 FRONT
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City | MOORESTOWN
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State | NJ
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Zip | 08057
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Country | US
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Telephone | 856-291-8600
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Fax | 856-291-8610
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Provider Business Mailing Address
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Address Line | 400 HIGHWAY
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City | RIVERTON
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State | NJ
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Zip | 08077
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Country | US
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Telephone | 856-296-4736
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP017170
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00721900
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License Number State | NJ
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