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General NPI Number Information
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NPI Number | 1609105204
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Entity Type | Individual
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Provider Name | JONATHAN NATIVIDAD JARVINA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 269 S CANDY LN
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4158
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Country | US
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Telephone | 928-639-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 E ORIOLE DR
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City | GILBERT
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State | AZ
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Zip | 85297-8178
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Country | US
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Telephone | 480-863-5961
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Fax | 480-863-1588
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46391
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 46391
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 46391
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License Number State | AZ
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