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General NPI Number Information
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NPI Number | 1619165917
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Entity Type | Organization
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Legal Business Name | JENNIFER ORBEGOSO ATTMORE MDPA
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 3900 W 15TH ST SUITE 404
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City | PLANO
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State | TX
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Zip | 75075-7751
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Country | US
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Telephone | 972-596-1803
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Fax | 972-867-4970
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Provider Business Mailing Address
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Address Line | 3900 W 15TH ST SUITE 404
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City | PLANO
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State | TX
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Zip | 75075-7751
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Country | US
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Telephone | 972-596-1803
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Fax | 972-867-4970
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JENNIFER ORBEGOSO ATTMORE
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Credential | MD
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Telephone | 972-596-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | L5665
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License Number State | TX
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