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General NPI Number Information
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NPI Number | 1285972935
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Entity Type | Individual
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Provider Name | JENNIFER PAULETTE POPE FNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 7948 ANDORICK DR
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City | SEVERN
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State | MD
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Zip | 21144-1871
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Country | US
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Telephone | 443-599-8479
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Fax |
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Provider Business Mailing Address
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Address Line | 514 CRAIN HWY N SUITE K
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3063
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Country | US
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Telephone | 410-863-4888
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R145020
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License Number State | MD
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