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General NPI Number Information
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NPI Number | 1053247817
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Entity Type | Individual
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Provider Name | JONATHAN DAVID CRAIG-MENDES JD, MBA, HEC-C
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Gender | Male
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4622
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Country | US
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Telephone | 480-543-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 3905 N. 7TH AVE. UNIT 33232
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City | PHOENIX
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State | AZ
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Zip | 85067
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Country | US
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Telephone | 623-715-2301
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number | 00132828
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License Number State |
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