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General NPI Number Information
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NPI Number | 1447487459
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Entity Type | Individual
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Provider Name | JENNIFER LH STANKUS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVENUE MADIGAN ARMY MEDICAL CENTER
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City | TACOMA
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State | WA
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Zip | 98431-1017
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Country | US
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Telephone | 253-698-1390
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 JACKSON AVENUE MADIGAN ARMY MEDICAL CENTER
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City | TACOMA
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State | WA
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Zip | 98431-1017
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Country | US
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Telephone | 253-698-1390
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60288086
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R3965
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License Number State | TX
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