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General NPI Number Information
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NPI Number | 1194263137
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Entity Type | Individual
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Provider Name | JENNA ESSENBURG DC, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3360 PROSPECT ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-1420
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Country | US
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Telephone | 616-669-6702
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Fax |
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Provider Business Mailing Address
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Address Line | 13761 HARRINGTON LNDG
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City | HOLLAND
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State | MI
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Zip | 49424-7485
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Country | US
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Telephone | 616-510-6805
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301401384
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License Number State | MI
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