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General NPI Number Information
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NPI Number | 1427965979
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Entity Type | Individual
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Provider Name | JENNY BARBERA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 460 E PEARL AVE
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City | JACKSON
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State | WY
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Zip | 83001-8410
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Country | US
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Telephone | 307-733-6401
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Fax | 307-733-8747
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Provider Business Mailing Address
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Address Line | 4101 S MUSTANG DR
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City | JACKSON
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State | WY
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Zip | 83001-8967
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Country | US
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Telephone | 518-598-7321
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 35694
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License Number State | WY
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