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General NPI Number Information
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NPI Number | 1669517033
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Entity Type | Individual
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Provider Name | JENNIFER KAY-BERENE KLEIN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 219 SUNSET AVE STE 116A
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City | DALLAS
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State | TX
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Zip | 75208-4531
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Country | US
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Telephone | 972-807-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 JUNIUS ST STE 300
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City | DALLAS
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State | TX
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Zip | 75246-1602
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Country | US
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Telephone | 972-807-7370
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Fax | 214-421-1119
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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 | 711619
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License Number State | TX
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