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General NPI Number Information
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NPI Number | 1770585960
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Entity Type | Individual
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Provider Name | JENNIFER D COMER P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 1880 W ORANGE GROVE RD
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City | TUCSON
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State | AZ
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Zip | 85704-1129
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Country | US
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Telephone | 520-797-2090
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Fax | 520-797-3138
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Provider Business Mailing Address
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Address Line | 1701 W DAWN DR
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City | TUCSON
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State | AZ
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Zip | 85704-2110
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Country | US
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Telephone | 520-797-2090
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Fax | 520-797-3138
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4337
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License Number State | AZ
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