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General NPI Number Information
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NPI Number | 1962549337
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Entity Type | Individual
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Provider Name | JENNIFER PETRUNIS BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 520 N DELAWARE AVE STE 303
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4228
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Country | US
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Telephone | 215-387-3223
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Fax | 215-387-3203
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Provider Business Mailing Address
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Address Line | 520 N DELAWARE AVE STE 303
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4228
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Country | US
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Telephone | 215-387-3223
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Fax | 215-387-3203
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN702983
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License Number State | PA
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