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General NPI Number Information
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NPI Number | 1275193328
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Entity Type | Individual
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Provider Name | JODI LYNN MAGNOTTI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 535 N WILMOT RD STE 201
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City | TUCSON
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State | AZ
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Zip | 85711-2629
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Country | US
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Telephone | 520-694-1234
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Fax | 520-694-2185
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Provider Business Mailing Address
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Address Line | 6939 N PUSCH PEAK PL
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City | TUCSON
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State | AZ
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Zip | 85718-1319
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Country | US
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Telephone | 901-590-5093
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 297136
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26024
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License Number State | TN
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