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General NPI Number Information
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NPI Number | 1154157188
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Entity Type | Individual
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Provider Name | JENNIFER J IP PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 4100 EMPIRE DR STE 120140
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0410
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Country | US
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Telephone | 866-903-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 28212 KELLY JOHNSON PKWY STE 245
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City | VALENCIA
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State | CA
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Zip | 91355-5092
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Country | US
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Telephone | 661-254-3686
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Fax | 661-254-5671
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA65170
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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