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General NPI Number Information
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NPI Number | 1568851947
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Entity Type | Individual
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Provider Name | JESSICA MICHELE STEFANSKI N.M.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 9316 E RAINTREE DR STE 140
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3007
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Country | US
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Telephone | 480-999-4404
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Fax | 833-234-2935
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Provider Business Mailing Address
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Address Line | 9316 E RAINTREE DR STE 140
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3007
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Country | US
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Telephone | 480-999-4404
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Fax | 833-234-2935
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1035
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 16-1550
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License Number State | AZ
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