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General NPI Number Information
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NPI Number | 1023368297
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Entity Type | Organization
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Legal Business Name | ADULT NP HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 15804 N 104TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-1972
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Country | US
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Telephone | 480-515-0755
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Fax | 480-515-0755
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Provider Business Mailing Address
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Address Line | 15804 N 104TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-1972
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Country | US
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Telephone | 480-515-0755
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Fax | 480-515-0755
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Authorized Official
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Title or Position | OWNER
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Name | LOIS SCHWARTZ
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Credential | ANP
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Telephone | 480-515-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP0263
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License Number State | AZ
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