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General NPI Number Information
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NPI Number | 1851437412
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Entity Type | Organization
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Legal Business Name | SCOTT M. JENSEN M.D. INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 792 CO RD 3144
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City | VERNON
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State | AZ
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Zip | 85940
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Country | US
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Telephone | 928-224-4270
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Fax | 928-212-9017
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Provider Business Mailing Address
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Address Line | 792 CO RD 3144
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City | SHOW LOW
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State | AZ
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Zip | 85901-8834
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Country | US
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Telephone | 928-224-4270
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Fax | 928-212-9017
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SCOTT MILTON JENSEN
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Credential | M.D.
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Telephone | 480-381-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 28925
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License Number State | AZ
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