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General NPI Number Information
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NPI Number | 1346694098
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Entity Type | Individual
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Provider Name | JANE ALEXANDRA MORTIMER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 103 HOSPITAL DRIVE ROYAL UNIVERSITY HOSPITAL, 5TH FLOOR, DIVISION OF ORTHO
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City | SASKATOON
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State | SK
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Zip | S7N0W8
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Country | CA
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Telephone | 306-844-1402
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Fax | 306-655-0638
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Provider Business Mailing Address
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Address Line | 103 HOSPITAL DRIVE ROYAL UNIVERSITY HOSPITAL, 5TH FLOOR, DIVISION OF ORTHO
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City | SASKATOON
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State | SK
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Zip | 708
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Country | CA
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Telephone | 206-987-6359
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 110798
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License Number State | ZZ
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