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General NPI Number Information
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NPI Number | 1689924888
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Entity Type | Individual
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Provider Name | JENNIFER JEANNINE VIDONISH CNP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1650 N FARWELL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53202-2331
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 431 SAINT JOHNS RD
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City | DELAFIELD
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State | WI
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Zip | 53018-1438
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Country | US
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Telephone | 419-565-0309
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | GAA-NP003408
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN.CNP.137441
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15948-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12.015771
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5022075
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024192748
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35825
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP241569
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License Number State | ME
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11035524
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License Number State | FL
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