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General NPI Number Information
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NPI Number | 1932791654
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Entity Type | Individual
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Provider Name | JENNIFER ANN DEMKO CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 5700 CORPORATE DR STE 530
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City | PITTSBURGH
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State | PA
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Zip | 15237-5851
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Country | US
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Telephone | 267-354-2894
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Fax | 267-762-1445
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Provider Business Mailing Address
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Address Line | 5700 CORPORATE DR STE 530
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City | PITTSBURGH
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State | PA
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Zip | 15237-5851
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Country | US
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Telephone | 267-354-2894
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Fax | 267-762-1445
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP029677
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP023195
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License Number State | PA
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