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General NPI Number Information
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NPI Number | 1790060481
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Entity Type | Individual
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Provider Name | JENNIFER LYNN DAY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 2615 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1412
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Country | US
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Telephone | 937-325-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 6134 MOSS HILL CT
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1333
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Country | US
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Telephone | 937-902-2205
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.003423RX
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License Number State | OH
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