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General NPI Number Information
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NPI Number | 1073743936
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Entity Type | Individual
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Provider Name | RUTH JANICE LEVINE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5090 N 40TH ST SUITE 250
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City | PHOENIX
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State | AZ
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Zip | 85018-2111
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Country | US
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Telephone | 602-258-3354
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Fax | 602-258-3368
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Provider Business Mailing Address
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Address Line | 3190 S GILBERT RD STE 5
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City | CHANDLER
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State | AZ
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Zip | 85286-5106
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Country | US
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Telephone | 623-267-8314
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Fax | 602-258-3368
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3430
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License Number State | AZ
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