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General NPI Number Information
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NPI Number | 1841838166
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Entity Type | Individual
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Provider Name | JEFFREY BRICE JUROSKY
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Gender | Male
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 570-906-1187
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Fax |
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Provider Business Mailing Address
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Address Line | 30 GARBER ST
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City | OLD FORGE
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State | PA
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Zip | 18518-2104
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Country | US
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Telephone | 570-906-1187
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN683944
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | APRN11026455
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 136527
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License Number State | PA
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