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General NPI Number Information
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NPI Number | 1205946670
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Entity Type | Individual
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Provider Name | JASCHON VAN HUNTER
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 N SCOTTSDALE RD SUITE 4
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2137
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Country | US
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Telephone | 480-947-7474
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Fax | 480-585-9667
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Provider Business Mailing Address
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Address Line | 7526 E BAKER DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-1895
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Country | US
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Telephone | 480-947-7747
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Fax | 480-585-9667
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 16337
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License Number State | AZ
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