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General NPI Number Information
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NPI Number | 1356992358
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Entity Type | Individual
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Provider Name | JENNIFER DENISE PORS MD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 3203 910 W 10TH AVENUE JENNEFER PORS, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE VANCOUV
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City | VANCOUVER
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State | BC
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Zip | V5Z 4E3
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Country | CA
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Telephone | 604-875-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY SANTA CLARA COUNTY
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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