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General NPI Number Information
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NPI Number | 1013809128
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Entity Type | Individual
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Provider Name | ALYSSA HENGLEFELT
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Gender |
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 10460 N 92ND ST STE 305
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4548
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Country | US
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Telephone | 480-583-5603
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 72567
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City | PHOENIX
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State | AZ
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Zip | 85050-1027
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Country | US
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Telephone |
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | S021925
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License Number State | AZ
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