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General NPI Number Information
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NPI Number | 1700516671
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Entity Type | Individual
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Provider Name | JENNY LYN VINEY APRN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 121 VISION PARK BLVD STE 200
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City | SHENANDOAH
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State | TX
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Zip | 77384-3027
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Country | US
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Telephone | 281-725-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 LOFTY MAPLE TRL
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City | KINGWOOD
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State | TX
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Zip | 77345-1938
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Country | US
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Telephone | 719-201-0686
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1038819
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License Number State | TX
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