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General NPI Number Information
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NPI Number | 1124117585
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Entity Type | Individual
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Provider Name | DANA ALESSE JAMISON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1012 E WILLETTA ST
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City | PHOENIX
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State | AZ
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Zip | 85006-2749
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Country | US
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Telephone | 602-239-6040
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Fax | 602-239-6372
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Provider Business Mailing Address
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Address Line | 9393 N 90TH ST SUITE # 102-130
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5040
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Country | US
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Telephone | 602-361-1191
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Fax | 480-905-1695
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G79311
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 23481
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 23481
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License Number State | AZ
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