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General NPI Number Information
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NPI Number | 1962640136
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Entity Type | Individual
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Provider Name | JASON GIORDANO CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 3737 MARKET ST FL 5
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5545
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Country | US
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Telephone | 215-349-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 3737 MARKET ST FL 5
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5545
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Country | US
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Telephone | 215-349-8310
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | L10034592
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | L60A00565
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | L60A00565
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN553098
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License Number State | PA
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