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General NPI Number Information
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NPI Number | 1275199531
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Entity Type | Individual
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Provider Name | JENNIFER HABASHY NMD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 9377 E BELL RD STE 361
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1870
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Country | US
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Telephone | 480-338-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 960 W SOUTHERN AVE APT D2009
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City | MESA
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State | AZ
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Zip | 85210-4968
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Country | US
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Telephone |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 19-1796
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License Number State | AZ
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