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General NPI Number Information
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NPI Number | 1730139890
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Entity Type | Individual
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Provider Name | WADE K. JENSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 110 HOSPITAL LN
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City | AFTON
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State | WY
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Zip | 83110-9409
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Country | US
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Telephone | 307-885-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HOSPITAL LN
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City | AFTON
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State | WY
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Zip | 83110-9409
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Country | US
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Telephone | 307-885-5870
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 7176
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 45935
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 6387824-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 37741
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | M11435
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 14531A
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License Number State | WY
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