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General NPI Number Information
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NPI Number | 1043495021
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Entity Type | Individual
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Provider Name | JENNIFER ANN DUNCAN N.P
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 414 G ST SUITE 208
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-741-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 ATKINSON CT
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City | YUBA CITY
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State | CA
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Zip | 95993-9679
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Country | US
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Telephone | 530-933-1146
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP17832
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License Number State | CA
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