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General NPI Number Information
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NPI Number | 1861977464
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Entity Type | Individual
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Provider Name | JENNIFER KAY NAGEL BSN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 520 MADISON OAK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3912
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Country | US
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Telephone | 210-297-4985
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Fax |
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Provider Business Mailing Address
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Address Line | 19907 WITTENBURG
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City | SAN ANTONIO
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State | TX
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Zip | 78256-2104
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Country | US
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Telephone | 210-313-6614
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 622377
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License Number State | TX
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