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General NPI Number Information
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NPI Number | 1386029163
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Entity Type | Individual
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Provider Name | JENNIFER DAWSON D'ANDREA APRN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 2779 W HORIZON RIDGE PKWY STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-4186
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Country | US
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Telephone | 702-990-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 2779 W HORIZON RIDGE PKWY STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-4186
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Country | US
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Telephone | 702-990-2290
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60591634
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP60591634
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 816422
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F0715892
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License Number State | WA
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