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General NPI Number Information
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NPI Number | 1255499265
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Entity Type | Individual
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Provider Name | JENNA VINCENT PT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 70 JEFFERSON CT STE 102
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City | ZION CROSSROADS
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State | VA
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Zip | 22942-9604
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Country | US
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Telephone | 540-832-3061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412307
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City | BOSTON
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State | MA
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Zip | 02241-2307
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Country | US
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Telephone | 914-294-4050
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1148569
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305209987
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License Number State | VA
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