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General NPI Number Information
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NPI Number | 1669875241
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Entity Type | Individual
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Provider Name | JENNIFER C DANIEL APRN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 640 E LEXINGTON AVE
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City | DANVILLE
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State | KY
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Zip | 40422-1719
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Country | US
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Telephone | 859-236-1250
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Fax | 859-236-9776
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Provider Business Mailing Address
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Address Line | 217 S 3RD ST
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City | DANVILLE
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State | KY
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Zip | 40422-1823
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Country | US
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Telephone | 859-239-5860
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Fax | 859-239-5879
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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 | 3008963
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License Number State | KY
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