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General NPI Number Information
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NPI Number | 1063226751
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Entity Type | Individual
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Provider Name | ALLIE KOSENA WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 11209 N TATUM BLVD STE 255
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City | PHOENIX
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State | AZ
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Zip | 85028-6061
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Country | US
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Telephone | 602-468-3912
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Fax |
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Provider Business Mailing Address
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Address Line | 26258 N 43RD PL
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City | PHOENIX
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State | AZ
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Zip | 85050-8913
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Country | US
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Telephone | 406-465-3839
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 319398
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 319398
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NUR-APRN-LIC-275163
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License Number State | MT
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