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General NPI Number Information
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NPI Number | 1861701609
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Entity Type | Individual
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Provider Name | JENNIFER DALEY HERRERA NURSE PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 9445 INDIANAPOLIS BLVD # 1221
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City | HIGHLAND
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State | IN
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Zip | 46322-2648
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Country | US
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Telephone | 219-595-8077
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Fax | 219-209-5582
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Provider Business Mailing Address
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Address Line | 9445 INDIANAPOLIS BLVD # 1221
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City | HIGHLAND
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State | IN
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Zip | 46322-2648
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Country | US
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Telephone | 219-595-8077
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Fax | 219-209-5582
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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 | 277.001826
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License Number State | IL
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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 | 11028179
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RNP268968
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 11028179
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 277.001826
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71003588A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71003588A
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License Number State | IN
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