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General NPI Number Information
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NPI Number | 1861707705
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Entity Type | Individual
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Provider Name | JENNIFER RAE DAVENPORT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 272 FM 306 STE 122
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5490
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Country | US
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Telephone | 830-500-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3757
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH6009
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL-10935
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12806
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1371671
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License Number State | TX
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