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General NPI Number Information
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NPI Number | 1598971699
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Entity Type | Individual
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Provider Name | JENNIFER D SKOUSE-VOLL P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 19600 E 39TH ST S EMERGENCY ROOM
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2301
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Country | US
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Telephone | 816-698-7170
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Fax | 816-698-7194
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Provider Business Mailing Address
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Address Line | 19600 E 39TH ST S EMERGENCY ROOM
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2301
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Country | US
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Telephone | 816-698-7170
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Fax | 816-698-7194
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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 | 1500867
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License Number State | KS
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