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General NPI Number Information
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NPI Number | 1902434731
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Entity Type | Individual
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Provider Name | JENNIFER ALLEN DO
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Gender | Female
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | KAY JEWELERS PAVILION 177 WEST EXCHANGE STREET
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone | 330-543-8452
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Fax |
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Provider Business Mailing Address
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Address Line | 3760 FAIRWAY PARK DR APT 211
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City | COPLEY
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State | OH
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Zip | 44321-3104
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Country | US
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Telephone | 661-618-8804
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34.016317
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License Number State | OH
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