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General NPI Number Information
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NPI Number | 1023386919
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Entity Type | Individual
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Provider Name | JENNIFER L VAN HORN AOCNS
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 2000 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-820-4351
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Fax | 970-810-3897
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Provider Business Mailing Address
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Address Line | 3340 E GOLDSTONE DR
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 208-463-5000
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Fax | 208-375-2217
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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 | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | 29968.1138
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN.0995749-NP
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License Number State | CO
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