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General NPI Number Information
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NPI Number | 1134521271
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Entity Type | Individual
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Provider Name | JENNIFER LEE HOWELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1201 LAKE JAMES DR STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6780
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Country | US
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Telephone | 757-523-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 LAKE JAMES DR STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6780
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Country | US
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Telephone | 757-523-0022
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-05910
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110007120
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License Number State | VA
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