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General NPI Number Information
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NPI Number | 1144981085
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Entity Type | Individual
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Provider Name | DESPINA LOZEVSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 16815 W BELL RD
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City | SURPRISE
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State | AZ
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Zip | 85374-2101
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Country | US
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Telephone | 623-244-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 12621 W MORNING VISTA DR
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City | PEORIA
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State | AZ
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Zip | 85383-2442
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Country | US
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Telephone | 602-989-3715
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8916
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8916
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License Number State | AZ
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