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General NPI Number Information
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NPI Number | 1043998628
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Entity Type | Individual
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Provider Name | CAROLINE CHUNG STRECKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8700 S HIGHWAY 95
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City | MOHAVE VALLEY
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State | AZ
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Zip | 86440-8519
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Country | US
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Telephone | 928-768-7113
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Fax |
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Provider Business Mailing Address
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Address Line | 5556 S INTEGRITY LN
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-8861
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Country | US
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Telephone | 928-514-3722
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 876943
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 294574
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License Number State | AZ
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