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General NPI Number Information
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NPI Number | 1437578564
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Entity Type | Individual
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Provider Name | JENNA FELICI-WEST MD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 4022 MENCHACA RD
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City | AUSTIN
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State | TX
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Zip | 78704-6746
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Country | US
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Telephone | 512-982-4116
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Fax | 512-265-9008
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Provider Business Mailing Address
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Address Line | 134 N 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3296
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Country | US
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Telephone | 464-450-7748
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Fax | 718-481-2061
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.163422
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R6778
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License Number State | TX
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