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General NPI Number Information
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NPI Number | 1215162128
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Entity Type | Individual
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Provider Name | JODINE WAMSLEY M.S., L.AC.,DIPL.CH
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Gender | Female
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 23150 N PIMA RD SUITE 2-B
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4334
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Country | US
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Telephone | 480-718-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 23150 N PIMA RD SUITE 2-B
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4334
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Country | US
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Telephone | 480-718-5840
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0367
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License Number State | AZ
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