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General NPI Number Information
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NPI Number | 1083098628
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Entity Type | Individual
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Provider Name | JESSICA LYNN HENDRIX AGAC-NP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 2139 AUBURN AVE INPATIENT CARDIOLOGY
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-585-2000
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Fax | 513-206-1182
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Provider Business Mailing Address
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Address Line | 2139 AUBURN AVE # 4-7
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-263-9703
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Fax | 513-830-9185
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3009557
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP.020276
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License Number State | OH
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