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General NPI Number Information
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NPI Number | 1881888220
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Entity Type | Organization
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Legal Business Name | JENNIFER HENRICHS DC PA
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 3223 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77581-4501
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Country | US
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Telephone | 281-743-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 HALBERT DR
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City | PEARLAND
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State | TX
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Zip | 77581-3829
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Country | US
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Telephone | 281-743-7199
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER LYNN HENRICHS
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Credential | DC
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Telephone | 281-743-7199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 10013
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License Number State | TX
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