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General NPI Number Information
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NPI Number | 1720690316
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Entity Type | Individual
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Provider Name | JENNIFER SLATON APRN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6140 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404-7421
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Country | US
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Telephone | 850-792-7910
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Fax | 866-335-0534
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Provider Business Mailing Address
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Address Line | 6140 EAST HIGHWWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404
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Country | US
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Telephone | 850-792-7910
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Fax | 866-335-0534
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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 | 11013646
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License Number State | FL
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