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General NPI Number Information
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NPI Number | 1346791555
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Entity Type | Individual
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Provider Name | JENNIFER ANN MARTINEAU RPH
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Gender | Female
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Dates
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Enumeration Date | 10/23/2016
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 6200 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85253
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Country | US
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Telephone | 480-822-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 N HWY 89
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-5978
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Country | US
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Telephone | 928-636-8358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S023404
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License Number State | AZ
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