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General NPI Number Information
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NPI Number | 1104040047
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Entity Type | Individual
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Provider Name | LISA M JENSON ATC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12555 UNIVERSITY AVE NW
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City | BLAINE
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State | MN
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Zip | 55434
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Country | US
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Telephone | 763-506-6729
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Fax |
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Provider Business Mailing Address
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Address Line | 16317 WINTERGREEN ST NW
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City | ANDOVER
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State | MN
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Zip | 55304-7734
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Country | US
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Telephone | 763-783-0849
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1453
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License Number State | MN
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