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General NPI Number Information
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NPI Number | 1467393983
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Entity Type | Organization
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Legal Business Name | DEAN JACKSON PITCHING TRAINING LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 21602 N CENTRAL AVE STE 6
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City | PHOENIX
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State | AZ
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Zip | 85024-5106
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Country | US
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Telephone | 602-540-7664
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Fax |
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Provider Business Mailing Address
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Address Line | 13213 N 69TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEAN JACKSON
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Credential |
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Telephone | 602-540-7664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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