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General NPI Number Information
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NPI Number | 1841868189
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Entity Type | Individual
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Provider Name | AUDREY JANETTE JAEGER DO
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Gender | Female
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5125 SKYLINE RD S
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City | SALEM
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State | OR
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Zip | 97306-9427
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Country | US
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Telephone | 503-370-4597
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 OLD YORK RD STE 1
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3098
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Country | US
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Telephone | 215-456-8261
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OT021026
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DO224027
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License Number State | OR
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