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General NPI Number Information
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NPI Number | 1851048284
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Entity Type | Individual
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Provider Name | BRIDGET JABLONSKI RN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2022
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Last Update Date | 04/09/2022
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Provider Practice Location Address
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Address Line | 6020 E CALLE DE POMPAS
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2509
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Country | US
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Telephone | 480-877-0037
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Fax | 855-930-1406
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Provider Business Mailing Address
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Address Line | 29455 N. CAVE CREEK RD. STE 118 # 470
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City | CAVE CREEK
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State | AZ
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Zip | 85331
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Country | US
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Telephone | 480-877-0037
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Fax | 855-930-1406
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN104191
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License Number State | AZ
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