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NPI 1174089718

NPI 1174089718 : ANTHONY JAMES CECCHINI MSN, RN, FNP : PRESCOTT VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1174089718
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY JAMES CECCHINI MSN, RN, FNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/19/2019
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    3188 N WINDSONG DR STE B 
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    City                 |    PRESCOTT VALLEY
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    State                |    AZ
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    Zip                  |    86314-1220
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    Country              |    US
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    Telephone            |    928-325-3525
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    Fax                  |    928-285-0044
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Provider Business Mailing Address
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    Address Line         |    3188 N WINDSONG DR STE B 
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    City                 |    PRESCOTT VALLEY
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    State                |    AZ
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    Zip                  |    86314-1220
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    Country              |    US
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    Telephone            |    928-325-3525
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    Fax                  |    928-285-0044
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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       |    71452
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    License Number State |    NM
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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       |    AP140311
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    289574
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    License Number State |    AZ
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