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General NPI Number Information
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NPI Number | 1891842266
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Entity Type | Individual
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Provider Name | JENNIFER EILEEN SLOANE MD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 211 S 9TH ST WALNUT TOWERS, SUITE 600
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6810
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Country | US
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Telephone | 215-955-8430
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Fax | 215-923-5828
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Provider Business Mailing Address
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Address Line | 211 S 9TH ST WALNUT TOWERS, SUITE 600
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6810
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Country | US
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Telephone | 215-955-8430
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Fax | 215-923-5828
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45749
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 45749
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD435395
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License Number State | PA
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