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General NPI Number Information
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NPI Number | 1306246350
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Entity Type | Individual
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Provider Name | JENNIFER LYNN WEINANDT CNM
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 1410 N 13TH ST
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City | NORFOLK
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State | NE
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Zip | 68701
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Country | US
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Telephone | 402-379-2322
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Fax | 402-379-0888
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | NORFOLK
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State | NE
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Zip | 68702-0209
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Country | US
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Telephone | 402-379-2322
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Fax | 402-379-0888
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 120061
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License Number State | NE
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