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NPI Code Detail

MEDICARE: JENNIFER DAILY M.A.

MEDICARE: JENNIFER DAILY M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist25MG00098000NJ
2237700000XHearing Instrument SpecialistF3074PA

General Provider Information

NPI Number : 1386049617
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DAILY M.A.
Provider Business Mailing Address
First Line : 2032 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1119
Country : US
Telephone Number : 215-742-7767
Fax Number : 215-742-6811
Provider Business Practice Location Address
First Line : 2032 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1119
Country : US
Telephone Number : 215-742-7767
Fax Number : 215-742-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 10/29/2014

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