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General NPI Number Information
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NPI Number | 1013973478
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Entity Type | Individual
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Provider Name | JEANNEAN JOY JENT CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 900 17TH ST
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City | WOODWARD
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State | OK
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Zip | 73801-2448
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Country | US
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Telephone | 580-256-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 114 SIERRA TRL
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City | JUSTIN
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State | TX
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Zip | 76247-7022
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Country | US
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Telephone | 817-734-6446
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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 | APN0000011461
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License Number State | TN
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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 | 121295A
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 041139679
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License Number State | IL
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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 | R56982
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R0081277
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 415154
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License Number State | TX
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