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General NPI Number Information
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NPI Number | 1295370179
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Entity Type | Individual
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Provider Name | JESSICA ANNE HARPER DNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 4141 N 32ND ST STE 104
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City | PHOENIX
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State | AZ
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Zip | 85018-4775
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Country | US
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Telephone | 602-535-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 W HAPPY VALLEY RD STE 141-110
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City | GLENDALE
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State | AZ
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Zip | 85310-3292
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Country | US
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Telephone | 602-699-5333
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 233500
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License Number State | AZ
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