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General NPI Number Information
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NPI Number | 1134061963
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Entity Type | Individual
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Provider Name | JENNIFER MARIE ST.CLAIR-MARTINEZ
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Gender |
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 600 PARK ST
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City | HAYS
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State | KS
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Zip | 67601-4009
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Country | US
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Telephone | 620-640-6539
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Fax |
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Provider Business Mailing Address
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Address Line | 412 E 14TH ST
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City | HAYS
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State | KS
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Zip | 67601-3539
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Country | US
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Telephone |
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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 | 159156
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License Number State | KS
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