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General NPI Number Information
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NPI Number | 1376917823
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Entity Type | Individual
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Provider Name | JENNIFER PARKER CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 701 E MARSHALL ST
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City | WEST CHESTER
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State | PA
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Zip | 19380-4412
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Country | US
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Telephone | 610-431-5224
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Fax | 610-431-2950
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Provider Business Mailing Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4259
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Country | US
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Telephone | 970-627-6675
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Fax | 610-431-2950
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP015610
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License Number State | PA
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