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General NPI Number Information
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NPI Number | 1598226417
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Entity Type | Individual
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Provider Name | JANE FORBES
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2441 E WHITTON AVE
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City | PHOENIX
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State | AZ
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Zip | 85016-7419
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Country | US
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Telephone | 602-688-4874
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Fax | 602-883-8375
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Provider Business Mailing Address
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Address Line | 3104 E CAMELBACK RD UNIT 7947
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City | PHOENIX
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State | AZ
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Zip | 85016-4502
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Country | US
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Telephone | 602-688-4874
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Fax | 602-883-8375
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101274622
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 73749
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License Number State | AZ
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