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General NPI Number Information
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NPI Number | 1417492687
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Entity Type | Individual
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Provider Name | JANA POWNELL DNP, MED, RN-BC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 2805 DODD RD STE 250
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City | EAGAN
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State | MN
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Zip | 55121-2123
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Country | US
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Telephone | 319-981-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 INDIAN SUMMER LN SW
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City | ELY
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State | IA
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Zip | 52227-8212
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Country | US
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Telephone | 319-331-2007
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 120189
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 364SI0800X
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Taxonomy Name | Informatics Clinical Nurse Specialist
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License Number | 120189
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License Number State | IA
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