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General NPI Number Information
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NPI Number | 1477412831
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Entity Type | Organization
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Legal Business Name | VJUVINATE LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 801 S POWER RD STE 108
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City | MESA
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State | AZ
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Zip | 85206-5222
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Country | US
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Telephone | 623-469-5889
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Fax | 602-626-8681
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Provider Business Mailing Address
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Address Line | PO BOX 1377
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City | HIGLEY
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State | AZ
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Zip | 85236-1377
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Country | US
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Telephone | 623-469-5889
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Fax | 602-626-8681
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | JODIE SCHENK
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Credential |
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Telephone | 623-469-5889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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