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General NPI Number Information
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NPI Number | 1720477151
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Entity Type | Individual
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Provider Name | JENNIFER SHEA SANDERS POPE DNP, CRNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 18317 US HIGHWAY 90
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City | ROBERTSDALE
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State | AL
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Zip | 36567
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Country | US
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Telephone | 251-947-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 18317 US HIGHWAY 90
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City | ROBERTSDALE
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State | AL
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Zip | 36567
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Country | US
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Telephone | 251-947-2000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9390693
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License Number State | FL
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