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General NPI Number Information
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NPI Number | 1457674301
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Entity Type | Individual
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Provider Name | JEAN R MENOWN NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1245 BANNING ST
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City | MARSHFIELD
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State | MO
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Zip | 65706
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Country | US
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Telephone | 417-269-1940
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Fax | 417-269-1948
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Provider Business Mailing Address
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Address Line | 1435 W WHITESIDE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-2356
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2010007620
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License Number State | MO
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