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NPI 1598718397

NPI 1598718397 : JENNIFER M. ZOMNIR M.D. : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1598718397
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER M. ZOMNIR M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    02/25/2010
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Provider Practice Location Address
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    Address Line         |    2840 LEGACY DR BLDG 400
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-6049
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    Country              |    US
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    Telephone            |    972-712-3652
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    Fax                  |    214-618-3614
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Provider Business Mailing Address
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    Address Line         |    2840 LEGACY DR BLDG 400
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-6049
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    Country              |    US
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    Telephone            |    972-712-3652
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    Fax                  |    214-618-3614
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    M1518
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    License Number State |    TX
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