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General NPI Number Information
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NPI Number | 1063989176
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Entity Type | Individual
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Provider Name | HELEN JORSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 2601 E ROOSEVELT ST
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City | PHOENIX
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State | AZ
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Zip | 85008-4973
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Country | US
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Telephone | 866-749-2876
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Fax |
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Provider Business Mailing Address
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Address Line | 191 N HARRIS DR
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City | FORT RUCKER
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State | AL
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Zip | 36362-2344
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Country | US
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Telephone | 832-799-8660
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 7295
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2290
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License Number State | ME
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