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General NPI Number Information
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NPI Number | 1528851656
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Entity Type | Individual
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Provider Name | ARLENE JASMINE LOTHIAN RN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 5041 W NORTHERN AVE STE B
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City | GLENDALE
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State | AZ
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Zip | 85301-1539
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Country | US
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Telephone | 623-455-1501
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Fax |
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Provider Business Mailing Address
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Address Line | 7185 W WILLOW AVE
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City | PEORIA
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State | AZ
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Zip | 85381-6063
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Country | US
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Telephone | 623-455-1501
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN171015
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN171015
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | RN171015
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN171015
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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