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General NPI Number Information
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NPI Number | 1245956358
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Entity Type | Individual
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Provider Name | JENNIFER RENEE ZABEL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 5721 OSAGE BEACH PKWY STE 100
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3030
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Country | US
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Telephone | 573-302-4696
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Fax | 573-302-4698
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Provider Business Mailing Address
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Address Line | 801 YORK ST
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City | MANITOWOC
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State | WI
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Zip | 54220-4630
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Country | US
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Telephone | 920-663-9008
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Fax | 920-684-1439
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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 | 2022029284
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License Number State | MO
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