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General NPI Number Information
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NPI Number | 1023488384
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Entity Type | Organization
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Legal Business Name | WEST VALLEY HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 9744 W NORTHERN AVE STE 1330
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City | PEORIA
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State | AZ
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Zip | 85345-4604
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Country | US
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Telephone | 623-806-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 10869 N SCOTTSDALE RD #103-257
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5280
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Country | US
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Telephone | 480-241-9887
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA CHRISTINE DIGIUSEPPE
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Credential |
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Telephone | 480-241-9887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP1597
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License Number State | AZ
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