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General NPI Number Information
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NPI Number | 1891701876
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Entity Type | Individual
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Provider Name | JENNIFER S CONSTENIUS P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11165 N LA CANADA DR SUITE 131
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City | ORO VALLEY
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State | AZ
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Zip | 85737-7354
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Country | US
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Telephone | 520-547-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 8790 N SHADOW MOUNTAIN DR
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City | TUCSON
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State | AZ
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Zip | 85704-6628
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Country | US
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Telephone | 520-229-2020
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2318
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License Number State | AZ
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