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General NPI Number Information
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NPI Number | 1336132034
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Entity Type | Individual
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Provider Name | JASON W ARNETT P.A.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 20950 N TATUM BLVD SUITE 350
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City | PHOENIX
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State | AZ
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Zip | 85050-4200
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Country | US
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Telephone | 480-502-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 30010N 59TH ST
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3022
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Country | US
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Telephone | 480-828-4250
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2475
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License Number State | AZ
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