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General NPI Number Information
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NPI Number | 1306244744
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Entity Type | Individual
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Provider Name | DANIELLE JENNINGS WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | : 44765 W. HATHAWAY AVE
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City | MARICOPA
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State | AZ
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Zip | 85138
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Country | US
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Telephone | 520-788-6100
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Fax | 520-788-6140
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Provider Business Mailing Address
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Address Line | PO BOX 10097
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City | CASA GRANDE
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State | AZ
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Zip | 85130-0020
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Country | US
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Telephone | 520-381-0380
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Fax | 520-836-1826
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP7521
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License Number State | AZ
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