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General NPI Number Information
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NPI Number | 1700901766
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Entity Type | Individual
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Provider Name | JENNIFER E GAMEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12001 S. FREEWAY SUITE 205
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City | BURLESON
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State | TX
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Zip | 76108
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Country | US
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Telephone | 817-568-0500
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Fax | 817-568-0501
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Provider Business Mailing Address
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Address Line | 113 BLUFF VW
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City | ALEDO
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State | TX
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Zip | 76008-4536
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Country | US
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Telephone | 817-441-9270
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Fax | 817-568-0501
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 622203
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License Number State | TX
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