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General NPI Number Information
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NPI Number | 1679794184
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Entity Type | Individual
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Provider Name | JENNIFER LYNN DENEYS PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 1702 SCHEURING RD STE C
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City | DE PERE
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State | WI
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Zip | 54115-9567
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Country | US
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Telephone | 920-227-1331
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Fax | 920-632-7870
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Provider Business Mailing Address
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Address Line | 1702 SCHEURING RD STE C
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City | DE PERE
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State | WI
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Zip | 54115-9567
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Country | US
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Telephone | 920-227-1331
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Fax | 920-468-3114
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5874-024
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License Number State | WI
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