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General NPI Number Information
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NPI Number | 1760849426
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Entity Type | Individual
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Provider Name | JENNIFER C. GOBENCION CNM
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3331 STREET RD STE 140
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City | BENSALEM
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State | PA
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Zip | 19020-2052
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Country | US
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Telephone | 215-245-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 40 WAVERLY DR
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City | COLUMBUS
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State | NJ
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Zip | 08022-1350
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Country | US
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Telephone | 201-669-0671
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 25ME00058901
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 25ME00058901
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010841
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License Number State | PA
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