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General NPI Number Information
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NPI Number | 1942314901
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Entity Type | Individual
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Provider Name | JENNIFER LYNN MCAULEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 751 S BASCOM AVE NEONATOLOGY DEPT
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City | SAN JOSE
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State | CA
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Zip | 95128-2604
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Country | US
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Telephone | 408-885-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 21090 TULITA CT
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City | CUPERTINO
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State | CA
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Zip | 95014-1639
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Country | US
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Telephone | 408-499-9580
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | RN494476
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License Number State | CA
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