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General NPI Number Information
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NPI Number | 1447039987
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Entity Type | Individual
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Provider Name | JAMIE SKOJEC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 14302 W BECKER LN
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City | SURPRISE
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State | AZ
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Zip | 85379-4305
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Country | US
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Telephone | 571-334-2343
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6288
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City | SCOTTSDALE
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State | AZ
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Zip | 85261-6288
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Country | US
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Telephone | 571-334-2343
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL12519H
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License Number State | AZ
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