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General NPI Number Information
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NPI Number | 1326535311
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Entity Type | Individual
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Provider Name | JENNIFER SLENCAK MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 1650 JOHN KING BLVD
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City | ROCKWALL
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State | TX
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Zip | 75032-6285
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Country | US
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Telephone | 972-698-4100
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Fax | 972-698-4200
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Provider Business Mailing Address
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Address Line | 519 E I30 # 1037
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City | ROCKWALL
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State | TX
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Zip | 75087-5408
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Country | US
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Telephone | 972-698-4100
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Fax | 972-698-4200
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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 | AP137301
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP137301
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License Number State | TX
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