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General NPI Number Information
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NPI Number | 1073391926
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Entity Type | Individual
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Provider Name | JENNA LEE ANTHONY DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1233 MAIN ST
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City | HOLYOKE
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State | MA
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Zip | 01040-5381
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Country | US
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Telephone | 413-531-1507
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | EAST OTIS
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State | MA
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Zip | 01029-0753
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Country | US
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Telephone | 413-531-1507
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704424442
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R271673
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 358076
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP032120
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024192563
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 122069
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2308152
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License Number State | MA
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