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General NPI Number Information
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NPI Number | 1912198011
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH IACOVELLI M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8575 E PRINCESS DR STE A-109
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5483
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Country | US
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Telephone | 480-734-7515
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Fax | 480-794-1025
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Provider Business Mailing Address
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Address Line | 9377 E BELL RD STE 313
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1504
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Country | US
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Telephone | 480-734-7515
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Fax | 480-393-7515
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36705
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License Number State | AZ
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