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General NPI Number Information
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NPI Number | 1477557908
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Entity Type | Individual
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Provider Name | LOIS A JENSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 590 RIO LINDO AVE
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City | CHICO
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State | CA
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Zip | 95926-1817
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Country | US
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Telephone | 530-345-3491
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Fax |
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Provider Business Mailing Address
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Address Line | 337 W CLARK ST., P.O.BOX 4887
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City | EUREKA
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State | CA
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Zip | 95501
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Country | US
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Telephone | 530-345-3491
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 46948
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C50040
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | C50040
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License Number State | CA
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