{
"Npi": {
"NPI": "1851437412",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCOTT M. JENSEN M.D. INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "792 CO RD 3144",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHOW LOW",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85901-8834",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "928-224-4270",
"MailingAddressFaxNumber": "928-212-9017",
"FirstLinePracticeLocationAddress": "792 CO RD 3144",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VERNON",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85940",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-224-4270",
"PracticeLocationAddressFaxNumber": "928-212-9017",
"EnumerationDate": "01/30/2007",
"LastUpdateDate": "10/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JENSEN",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "MILTON",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "480-381-2660",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "28925",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}