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General NPI Number Information
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NPI Number | 1871715367
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Entity Type | Individual
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Provider Name | JASON RICHARD JENSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 9787 N 91ST ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5088
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Country | US
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Telephone | 480-245-6211
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Fax |
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Provider Business Mailing Address
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Address Line | 9787 N 91ST ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5088
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Country | US
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Telephone | 480-245-6211
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MT187118
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 43504
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD29091
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R4066
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 43504
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 43504
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License Number State | AZ
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