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General NPI Number Information
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NPI Number | 1134917859
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Entity Type | Individual
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Provider Name | JENNIFER SMITH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2000 FOULK RD STE A
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City | WILMINGTON
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State | DE
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Zip | 19810-3642
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Country | US
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Telephone | 302-475-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MARSHALL ST APT 304
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City | WEST CHESTER
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State | PA
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Zip | 19380-2462
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Country | US
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Telephone | 973-722-2353
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0013218
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License Number State | DE
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