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General NPI Number Information
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NPI Number | 1558496851
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Entity Type | Organization
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Legal Business Name | JOSEPH LEHIGH JENSEN III
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 541 SECOND AVE
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City | TWISP
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State | WA
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Zip | 98856-1069
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Country | US
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Telephone | 509-997-2011
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Fax | 509-997-2034
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Provider Business Mailing Address
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Address Line | PO BOX 1069
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City | TWISP
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State | WA
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Zip | 98856-1069
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Country | US
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Telephone | 509-997-2011
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Fax | 509-997-2034
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Authorized Official
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Title or Position | MANAGER
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Name | BEVERLEY C JENSEN
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Credential |
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Telephone | 509-997-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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