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General NPI Number Information
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NPI Number | 1073832721
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Entity Type | Individual
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Provider Name | ELIZABETH DVORAK MUNGER RN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 9220 E MOUNTAIN VIEW RD SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5133
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Country | US
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Telephone | 480-425-5000
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Fax | 480-425-5010
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Provider Business Mailing Address
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Address Line | 9700 N 91ST ST SUITE C-200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5054
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Country | US
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Telephone | 480-425-5000
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Fax | 480-425-5010
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN055765
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | RN055765
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License Number State | AZ
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