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General NPI Number Information
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NPI Number | 1114536166
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Entity Type | Individual
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Provider Name | JENNIFER FOXELL BLUNTZER DNP, APRN, ACAGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2700 CITIZENS PLZ STE 402
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City | VICTORIA
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State | TX
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Zip | 77901-5757
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Country | US
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Telephone | 361-582-5633
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Fax | 361-582-5632
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Provider Business Mailing Address
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Address Line | 448 SENDERA LOOP
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City | VICTORIA
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State | TX
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Zip | 77904-5325
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Country | US
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Telephone | 361-649-5369
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 1005217
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License Number State | TX
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