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General NPI Number Information
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NPI Number | 1982146189
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Entity Type | Individual
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Provider Name | JESSICA A UEHLINGER PA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2016
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 3228 INTERSTATE 30 STE 200
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City | MESQUITE
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State | TX
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Zip | 75150-2633
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Country | US
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Telephone | 972-216-5400
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Fax | 972-216-5405
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Provider Business Mailing Address
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Address Line | 1311 N COZUMEL ST
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-4465
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Country | US
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Telephone | 214-680-7311
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10920
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License Number State | TX
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