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General NPI Number Information
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NPI Number | 1134223324
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Entity Type | Individual
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Provider Name | REGINA JANE DERINGER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-277-5551
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Fax | 602-200-6288
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Provider Business Mailing Address
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Address Line | 5101 E. WINCHCOMB DRIVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-795-9535
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN125786
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License Number State | AZ
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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 | 1449-033
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License Number State | WI
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