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General NPI Number Information
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NPI Number | 1285197772
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Entity Type | Individual
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Provider Name | JENNIFER CLEMENTS-DOWN LMT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 2209 WOODVIEW DR
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1922
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Country | US
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Telephone | 682-498-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 2209 WOODVIEW DR
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1922
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Country | US
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Telephone | 682-498-3696
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT115473
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License Number State | TX
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