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NPI 1417536095

NPI 1417536095 : DANIELLE JENKS DO : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1417536095
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELLE JENKS DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/02/2021
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    10261 N 92ND ST STE 101 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-4502
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    Country              |    US
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    Telephone            |    480-443-4437
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    Fax                  |    480-443-4525
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Provider Business Mailing Address
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    Address Line         |    1661 E CAMELBACK RD STE 200 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-3913
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    Country              |    US
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    Telephone            |    623-231-3686
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    Fax                  |    602-521-5701
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    011682
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    License Number State |    AZ
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