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General NPI Number Information
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NPI Number | 1992861207
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Entity Type | Individual
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Provider Name | JENNIFER MAAG NABER MD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 300 STATE ST. DEPARTMENT OF PATHOLOGY
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City | ERIE
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State | PA
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Zip | 16550
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Country | US
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Telephone | 814-877-3131
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Fax | 814-877-5111
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Provider Business Mailing Address
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Address Line | 5700 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1509
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD431086
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License Number State | PA
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