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General NPI Number Information
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NPI Number | 1770659369
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Entity Type | Individual
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Provider Name | SUSAN MARIE JABLONSKI FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3409 N 7TH AVE STE C109
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City | PHOENIX
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State | AZ
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Zip | 85013-3635
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Country | US
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Telephone | 602-883-2917
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Fax | 602-753-9763
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Provider Business Mailing Address
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Address Line | 3409 N 7TH AVE STE C109
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City | PHOENIX
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State | AZ
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Zip | 85013-3635
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Country | US
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Telephone | 602-883-2917
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Fax | 602-753-9763
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP10281
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 78919
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CP003124
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 227670
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP115768
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53781
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 207061
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10022479
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License Number State | OR
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