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General NPI Number Information
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NPI Number | 1083207096
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Entity Type | Organization
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Legal Business Name | JMA INTEGRATED MEDICINE PLLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 2111 E PECOS RD STE 1
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City | CHANDLER
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State | AZ
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Zip | 85225-6072
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Country | US
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Telephone | 480-825-0593
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Fax |
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Provider Business Mailing Address
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Address Line | 4637 E REINS RD
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City | GILBERT
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State | AZ
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Zip | 85297-9515
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Country | US
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Telephone | 480-313-3600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAZEM ABAWI
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Credential | PHARM D
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Telephone | 480-313-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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