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General NPI Number Information
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NPI Number | 1306723127
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Entity Type | Individual
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Provider Name | JENNA LEE KLOPPING
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2470 HILBORN RD
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City | FAIRFIELD
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State | CA
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Zip | 94534-1100
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Country | US
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Telephone | 707-646-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 485 STONECASTLE WAY
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City | VACAVILLE
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State | CA
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Zip | 95687-9455
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Country | US
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Telephone | 510-432-7172
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95036535
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License Number State | CA
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