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General NPI Number Information
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NPI Number | 1053945907
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Entity Type | Individual
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Provider Name | JENNA KOBLINSKI MD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2020
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1331 N 7TH ST STE 250
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City | PHOENIX
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State | AZ
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Zip | 85006-2722
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Country | US
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Telephone | 602-483-6504
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Fax | 602-354-5607
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Provider Business Mailing Address
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Address Line | 1331 N 7TH ST STE 250
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City | PHOENIX
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State | AZ
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Zip | 85006-2722
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Country | US
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Telephone | 602-483-6504
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Fax | 602-354-5607
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 76916
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License Number State | AZ
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