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General NPI Number Information
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NPI Number | 1780963934
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Entity Type | Individual
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Provider Name | JENNIFER LYNN HOPGOOD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 450 CLINTON ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-3207
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Country | US
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Telephone | 401-767-4100
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Fax | 401-356-4709
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Provider Business Mailing Address
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Address Line | 450 CLINTON ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-3207
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Country | US
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Telephone | 401-767-4100
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Fax | 401-356-4709
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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 | RN2263972
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License Number State | MA
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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 | APRN00275
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License Number State | RI
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