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General NPI Number Information
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NPI Number | 1609146448
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Entity Type | Individual
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Provider Name | JENNIFER E. HALFMANN FNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 2412 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79412-2504
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Country | US
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Telephone | 806-744-7223
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Fax | 806-740-3325
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Provider Business Mailing Address
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Address Line | 2804 N LOOP 289
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City | LUBBOCK
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State | TX
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Zip | 79415-1410
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Country | US
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Telephone | 806-744-7223
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Fax | 806-740-3325
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 746014
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License Number State | TX
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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 | AP121081
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License Number State | TX
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