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General NPI Number Information
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NPI Number | 1043095540
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Entity Type | Individual
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Provider Name | SANDRA JANAE JENNINGS-CURRY RN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1950 W ROSCOE ST
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City | CHICAGO
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State | IL
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Zip | 60657-1030
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Country | US
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Telephone | 312-516-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 9638 OLATHE ST
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City | COMMERCE CITY
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State | CO
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Zip | 80022-7122
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Country | US
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Telephone | 720-203-1522
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-306282
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 041.486975
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License Number State | IL
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