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General NPI Number Information
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NPI Number | 1972894699
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Entity Type | Individual
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Provider Name | STEPHANIE JENSEN RN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 555 BUENA VISTA AVE W APT 303
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-4140
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Country | US
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Telephone | 415-518-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BUENA VISTA AVE W APT 303
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-4140
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Country | US
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Telephone | 415-518-0679
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 678313
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA4151
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License Number State | CA
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