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General NPI Number Information
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NPI Number | 1205890050
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Entity Type | Individual
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Provider Name | JENNIFER QUESINBERRY JENNINGS MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1616 N MAIN ST SUITE C
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City | MARION
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State | VA
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Zip | 24354-4398
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Country | US
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Telephone | 276-783-8123
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Fax | 276-783-1820
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Provider Business Mailing Address
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Address Line | 1616 N MAIN ST STE C
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City | MARION
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State | VA
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Zip | 24354-4474
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Country | US
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Telephone | 276-783-8123
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Fax | 276-783-1820
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101058540
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License Number State | VA
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