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General NPI Number Information
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NPI Number | 1245053008
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Entity Type | Individual
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Provider Name | MONICA MARY FUGATE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6567 E CARONDELET DR STE 475
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City | TUCSON
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State | AZ
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Zip | 85710-6152
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Country | US
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Telephone | 520-420-1966
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Fax | 866-733-1907
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Provider Business Mailing Address
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Address Line | 7005 E VUELTA AGUARACHAY
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City | TUCSON
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State | AZ
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Zip | 85756-0001
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Country | US
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Telephone | 630-429-6432
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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 | F08240889
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License Number State | AZ
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