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NPI Code Detail

MEDICARE: JENNIFER LOSS

MEDICARE: JENNIFER LOSS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1780115121
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LOSS
Provider Business Mailing Address
First Line : 106 BELINDA BLVD
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number : 859-209-2321
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELINDA BLVD
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number : 859-209-2321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/27/2017

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Directions to “ JENNIFER LOSS ” Practice Location

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