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General NPI Number Information
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NPI Number | 1083945026
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Entity Type | Individual
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Provider Name | JENNIFER ANN RATCLIFFE MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 401 STONE MOUNTAIN CT
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City | CRESSON
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State | TX
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Zip | 76035-5629
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Country | US
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Telephone | 817-366-0674
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Fax |
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Provider Business Mailing Address
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Address Line | 401 STONE MOUNTAIN CT
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City | CRESSON
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State | TX
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Zip | 76035-5629
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Country | US
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Telephone | 817-366-0674
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 684481
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License Number State | TX
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