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General NPI Number Information
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NPI Number | 1235445800
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Entity Type | Individual
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Provider Name | JENNIFER LYNN HAWLEY
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 2082 BUFFALO STREET
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City | SENECA CASLET
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State | NY
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Zip | 14547
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Country | US
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Telephone | 607-368-7202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | SENECA CASTLE
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State | NY
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Zip | 14547-0211
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Country | US
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Telephone | 67-368-7202
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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