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General NPI Number Information
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NPI Number | 1942457783
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Entity Type | Individual
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Provider Name | JENNIFER ANN NORRIS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2008
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1820 PROFESSIONAL DR STE 5
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City | SACRAMENTO
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State | CA
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Zip | 95825-2120
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Country | US
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Telephone | 164-838-1829
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 PROFESSIONAL DRIVE SUITE 5
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 916-483-8182
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 101171
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License Number State | CA
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