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NPI 1154874030

NPI 1154874030 : ALLERGY NAVIGATORS, PLLC : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1154874030
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLERGY NAVIGATORS, PLLC 
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Dates
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    Enumeration Date     |    07/27/2016
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    Last Update Date     |    12/17/2020
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Provider Practice Location Address
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    Address Line         |    3514 N POWER RD STE 123 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85215-2909
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    Country              |    US
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    Telephone            |    480-827-9945
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    Fax                  |    877-832-4901
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Provider Business Mailing Address
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    Address Line         |    3514 N POWER RD STE 123 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85215-2909
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    Country              |    US
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    Telephone            |    480-827-9945
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    Fax                  |    877-832-4901
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    DR. MELISSA LEANN FERRELL 
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    Credential           |    DNP FNP-BC
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    Telephone            |    480-827-9945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207KA0200X
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    Taxonomy Name        |    Allergy Physician
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    License Number       |    2543
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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       |    AP5550
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    License Number State |    AZ
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