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General NPI Number Information
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NPI Number | 1114300100
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Entity Type | Individual
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Provider Name | JENNIFER OXFORD APRN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 2629 N SIERRA AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3370
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Country | US
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Telephone | 479-445-3469
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Fax | 877-693-6271
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Provider Business Mailing Address
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Address Line | 2629 N SIERRA AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3370
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Country | US
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Telephone | 479-445-3469
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Fax | 877-693-6271
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | A004438
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License Number State | AR
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