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General NPI Number Information
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NPI Number | 1013896232
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Entity Type | Individual
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Provider Name | MS. JAUNA ELIZABETH MAZZOCCO
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Gender | Female
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 1955 W FRYE RD
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City | CHANDLER
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State | AZ
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Zip | 85224-6282
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Country | US
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Telephone | 480-728-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1461 W NECTARINE AVE
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-7669
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Country | US
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Telephone | 618-917-1631
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN192191
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN192191
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License Number State | AZ
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