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General NPI Number Information
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NPI Number | 1770406027
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Entity Type | Individual
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Provider Name | SANDRA L JENSEN RN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 2883 W VICTORIAN DR
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City | RIVERTON
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State | UT
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Zip | 84065-7616
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Country | US
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Telephone | 435-881-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 4050 PIEDMONT PKWY
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City | HIGH POINT
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State | NC
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Zip | 27265-9458
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Country | US
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Telephone | 336-289-8648
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201801831RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 128846
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95158257
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1047468
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 88735
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041464065
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2323346
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704340133
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2462292
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License Number State | MN
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN97320
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License Number State | NV
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Taxonomy #11
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 744270
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 218528-3102
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License Number State | UT
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