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General NPI Number Information
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NPI Number | 1386558740
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Entity Type | Individual
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Provider Name | JENNIFER LYNN KENDALL
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 589 N FM 1626
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City | BUDA
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State | TX
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Zip | 78610-3860
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Country | US
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Telephone | 612-970-7821
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 GOLDILOCKS LN
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City | MANCHACA
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State | TX
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Zip | 78652-4532
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Country | US
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Telephone | 512-970-7821
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 104045
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License Number State | TX
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