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NPI 1669439535

NPI 1669439535 : JENNIFER MILLEN D.C. : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1669439535
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER MILLEN D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/26/2006
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    Last Update Date     |    12/12/2024
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Provider Practice Location Address
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    Address Line         |    1795 ALYSHEBA WAY SUITE 4103 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-2488
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    Country              |    US
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    Telephone            |    859-335-0419
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    Fax                  |    859-264-0588
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Provider Business Mailing Address
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    Address Line         |    1795 ALYSHEBA WAY SUITE 4103 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-2488
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    Country              |    US
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    Telephone            |    859-335-0419
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    Fax                  |    859-264-0588
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    5224
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    249362
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    License Number State |    KY
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