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General NPI Number Information
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NPI Number | 1891001608
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Entity Type | Organization
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Legal Business Name | JEFFREY P TENNER, DO, PC
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 410 S MAIN ST
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2327
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Country | US
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Telephone | 609-463-1488
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Fax | 609-463-4881
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Provider Business Mailing Address
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Address Line | 410 S MAIN ST
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2327
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Country | US
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Telephone | 609-463-1488
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Fax | 609-463-4881
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEFFREY P TENNER
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Credential | DO
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Telephone | 609-463-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MB48174
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License Number State | NJ
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