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General NPI Number Information
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NPI Number | 1053352450
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Entity Type | Individual
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Provider Name | JODY L PELUSI N.P
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 10510 N 92ND ST SUITE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4566
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Country | US
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Telephone | 480-323-1350
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Fax | 480-323-1359
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Provider Business Mailing Address
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Address Line | 2500 W UTOPIA RD SUITE100
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City | PHOENIX
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State | AZ
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Zip | 85027-4171
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Country | US
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Telephone | 623-434-6200
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Fax | 623-434-6164
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN032327
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License Number State | AZ
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