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General NPI Number Information
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NPI Number | 1548667454
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Entity Type | Individual
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Provider Name | JENNIFER THORPE PA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 710 N EUCLID ST STE 101
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City | ANAHEIM
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State | CA
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Zip | 92801-4132
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Country | US
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Telephone | 714-517-2000
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Fax | 714-490-1973
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Provider Business Mailing Address
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Address Line | 710 N EUCLID ST STE 400
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City | ANAHEIM
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State | CA
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Zip | 92801-4132
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Country | US
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Telephone | 714-517-2000
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Fax | 714-300-0473
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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 | 51917
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License Number State | CA
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