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General NPI Number Information
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NPI Number | 1548735434
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Entity Type | Individual
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Provider Name | JENNIFER LYNDA ROHLER MSN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 2668 HUALAPAI MOUNTAIN RD
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City | KINGMAN
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State | AZ
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Zip | 86401-8387
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Country | US
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Telephone | 928-718-7300
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Fax | 928-753-4998
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Provider Business Mailing Address
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Address Line | 3545 CHEYENNE AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-6507
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Country | US
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Telephone | 928-279-5553
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 11787
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11781
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License Number State | AZ
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