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General NPI Number Information
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NPI Number | 1811392988
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Entity Type | Individual
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Provider Name | AIMEE NICOLE JENSEN PHARMD, BCPS, BCPP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 502-287-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 732-500-7493
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19362
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | S10801
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | P9915
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License Number State | ID
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