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General NPI Number Information
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NPI Number | 1538317409
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Entity Type | Individual
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Provider Name | JENNIFER MICHELE HENSLEY DDS
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 9910 W LOOP 1604 N STE 122
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5610
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Country | US
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Telephone | 210-446-0935
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1652
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City | HELOTES
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State | TX
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Zip | 78023-1652
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Country | US
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Telephone | 210-446-0935
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24034
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License Number State | TX
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