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General NPI Number Information
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NPI Number | 1144915364
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Entity Type | Individual
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Provider Name | SALLY NOEL WILLEY ND
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Gender | Female
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 9855 S PRIEST DR STE 101
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City | TEMPE
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State | AZ
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Zip | 85284-3605
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Country | US
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Telephone | 480-712-7499
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Fax | 866-214-2952
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Provider Business Mailing Address
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Address Line | 3175 N PRICE RD APT 1214
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City | CHANDLER
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State | AZ
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Zip | 85224-1083
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Country | US
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Telephone | 303-847-9406
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 23-1775
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License Number State | AZ
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