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General NPI Number Information
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NPI Number | 1912881533
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Entity Type | Individual
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Provider Name | JENNIFER SHAFFER DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 303 E KEARSLEY ST
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City | FLINT
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State | MI
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Zip | 48502-1907
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Country | US
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Telephone | 517-898-9347
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Fax |
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Provider Business Mailing Address
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Address Line | 10715 HART HWY
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City | DIMONDALE
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State | MI
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Zip | 48821-9560
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4704296665
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License Number State | MI
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