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General NPI Number Information
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NPI Number | 1104354901
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Entity Type | Individual
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Provider Name | JANICE SUE JACKSON ND
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 12052 N SAGUARO BLVD UNIT 201
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-4673
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Country | US
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Telephone | 480-886-3059
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Fax | 480-900-7150
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Provider Business Mailing Address
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Address Line | PO BOX 17844
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85269-7844
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Country | US
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Telephone | 480-886-3059
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Fax | 480-900-7150
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 16-1551
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License Number State | AZ
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