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General NPI Number Information
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NPI Number | 1700911518
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Entity Type | Individual
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Provider Name | JOSEPH LEHIGH JENSEN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/12/2015
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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 | 98856-9863
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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 1340
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City | OKANOGAN
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State | WA
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Zip | 98840-1340
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Country | US
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Telephone | 509-422-5700
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Fax | 509-422-7680
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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 | MD00013844
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.033677
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License Number State | OH
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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 | M-50858
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License Number State | ID
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