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General NPI Number Information
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NPI Number | 1962490243
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Entity Type | Individual
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Provider Name | ANTHONY S JENNINGS MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 27 COVERED BRIDGE RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2945
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Country | US
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Telephone | 856-428-6768
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Fax | 856-429-1926
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Provider Business Mailing Address
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Address Line | 110 WILLOW WAY
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3049
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Country | US
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Telephone | 856-428-6768
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Fax | 856-429-1926
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA03158700
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License Number State | NJ
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