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General NPI Number Information
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NPI Number | 1356545891
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Entity Type | Individual
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Provider Name | NATALIE JOY JENSEN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 506 NE 107TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-1574
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Country | US
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Telephone | 816-605-0034
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Fax | 816-399-5090
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Provider Business Mailing Address
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Address Line | 506 NE 107TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-1574
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Country | US
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Telephone | 816-605-0034
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Fax | 816-399-5090
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2007014540
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License Number State | MO
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