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General NPI Number Information
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NPI Number | 1295828556
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Entity Type | Individual
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Provider Name | JENNIFER LOWERY GIBBS NP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 S COLLEGE AVE
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City | NEWARK
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State | DE
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Zip | 19702-2377
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Country | US
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Telephone | 302-369-1501
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Fax | 302-369-1503
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Provider Business Mailing Address
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Address Line | PO BOX 1355
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City | BEAR
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State | DE
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Zip | 19701-7355
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Country | US
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Telephone | 302-368-4311
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Fax | 302-369-1503
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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 | LG-0000359
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License Number State | DE
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