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General NPI Number Information
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NPI Number | 1316418775
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Entity Type | Individual
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Provider Name | JENNIFER DAWN TERRY
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Gender | Female
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 142 S MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-2922
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Country | US
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Telephone | 434-799-2225
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Fax | 434-773-7924
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Provider Business Mailing Address
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Address Line | PO BOX 708760
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City | SANDY
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State | UT
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Zip | 84070-8760
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-7976
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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 | 0024176444
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License Number State | VA
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