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General NPI Number Information
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NPI Number | 1255507794
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Entity Type | Individual
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Provider Name | JENNIFER WARNER DHARAMSI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 3140 LEGACY DRIVE SUITE 110
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 972-469-2626
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Fax | 972-469-2818
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Provider Business Mailing Address
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Address Line | 3140 LEGACY DR SUITE 110
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 972-469-2626
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Fax | 972-469-2818
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | P2228
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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