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General NPI Number Information
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NPI Number | 1699062208
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Entity Type | Individual
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Provider Name | JENNIFER R DINNING M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2011
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 970 LAKELAND DR STE 43
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City | JACKSON
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State | MS
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Zip | 39216-4634
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Country | US
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Telephone | 601-200-2990
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Fax | 601-200-5939
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 601-200-6060
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 24720
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T-2426
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License Number State | MS
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