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General NPI Number Information
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NPI Number | 1861263352
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Entity Type | Individual
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Provider Name | JACI ALLMANDINGER CNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 506 S MAIN ST
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City | ROCKFORD
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State | OH
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Zip | 45882-9228
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Country | US
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Telephone | 419-363-3008
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Fax | 419-363-2093
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71014910A
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License Number State | IN
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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 | APRN.CNP.0039282
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 28249252A
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License Number State | IN
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