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General NPI Number Information
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NPI Number | 1902837230
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Entity Type | Individual
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Provider Name | ROXANNE JEFFRIES-BAXTER NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 840 FIRST AVE STE 400
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-4062
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Country | US
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Telephone | 610-934-2200
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Fax | 610-885-0801
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Provider Business Mailing Address
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Address Line | 2212 RONALD DR
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City | EAGLEVILLE
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State | PA
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Zip | 19403-1353
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Country | US
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Telephone | 267-307-2077
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | TP004933H
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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 | SP011634
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP022178
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License Number State | PA
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