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General NPI Number Information
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NPI Number | 1730039413
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Entity Type | Individual
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Provider Name | JENSEN WARY
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-0001
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Country | US
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Telephone | 570-271-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 812 CENTRAL RD APT C
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8976
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Country | US
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Telephone | 570-380-3775
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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 | SP035213
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License Number State | PA
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