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General NPI Number Information
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NPI Number | 1609319664
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Entity Type | Individual
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Provider Name | JENNIFER SYLUK NP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 7601 PRESTON RD STE P1100
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City | PLANO
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State | TX
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Zip | 75024-3214
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Country | US
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Telephone | 214-456-2382
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Fax |
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-9087
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704268108
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP137950
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License Number State | TX
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