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General NPI Number Information
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NPI Number | 1063700474
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Entity Type | Individual
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Provider Name | JENNIFER SUE HESS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 3200 MACCORKLE AVE SE PAC MEMORIAL DIVISION
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City | CHARLESTON
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State | WV
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Zip | 25304-1227
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Country | US
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Telephone | 304-388-9326
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Fax | 304-388-5423
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Provider Business Mailing Address
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Address Line | 415 MORRIS ST SUITE 304
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City | CHARLESTON
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State | WV
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Zip | 25301-1842
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Country | US
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Telephone | 304-388-7782
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Fax | 304-388-7788
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55280
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License Number State | WV
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