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General NPI Number Information
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NPI Number | 1437871290
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Entity Type | Individual
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Provider Name | JENNIFER K CENTERS NP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 39465 W 14 MILE RD
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City | NOVI
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State | MI
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Zip | 48377-1600
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Country | US
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Telephone | 877-906-9699
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Fax | 888-483-0118
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Provider Business Mailing Address
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Address Line | 1120 MARSHALL RD
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City | TEKONSHA
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State | MI
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Zip | 49092-9555
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Country | US
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Telephone | 877-906-9699
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Fax | 888-483-0118
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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 | 4704306854
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License Number State | MI
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