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General NPI Number Information
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NPI Number | 1639126543
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Entity Type | Individual
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Provider Name | JILL R VERBRIDGE NP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 09/14/2017
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Provider Practice Location Address
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Address Line | 1224 E LOWELL ST
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City | TUCSON
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State | AZ
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Zip | 85721-0400
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Country | US
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Telephone | 520-481-2668
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Fax | 520-621-5510
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Provider Business Mailing Address
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Address Line | 1122 E 9TH ST
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City | TUCSON
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State | AZ
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Zip | 85719-5439
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Country | US
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Telephone | 520-481-2668
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Fax | 520-621-5510
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN067195
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License Number State | AZ
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