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General NPI Number Information
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NPI Number | 1740649680
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Entity Type | Individual
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Provider Name | JENNIFER CAPRI FOGGIO NP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 699 WALNUT ST STE 4
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City | DES MOINES
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State | IA
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Zip | 50309-3949
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RENAISSANCE CTR
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City | DETROIT
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State | MI
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Zip | 48243-1502
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Country | US
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Telephone | 888-731-8994
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704287394
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704287394
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 47042847394
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A174210
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | A174210
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License Number State | IA
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