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General NPI Number Information
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NPI Number | 1497073811
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Entity Type | Individual
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Provider Name | JANNELLE GWYNETH REYNOLDS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2510 11TH AVE
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City | KEARNEY
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State | NE
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Zip | 68849-2247
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Country | US
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Telephone | 970-214-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 UNIVERISTY DR
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City | KEARNEY
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State | NE
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Zip | 68849-2217
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Country | US
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Telephone | 970-214-3570
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20862
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-01382
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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