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General NPI Number Information
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NPI Number | 1255438818
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Entity Type | Individual
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Provider Name | THERESA YVONNE GRAY RASHDAN MSN, CPNP-PC/AC, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1200 N BEAVER ST
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3118
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Country | US
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Telephone | 928-773-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 127TH TERRACE E
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City | PARRISH
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State | FL
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Zip | 34219
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Country | US
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Telephone | 941-776-3579
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 238039
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License Number State | LA
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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 | ARNP9322046
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9322046
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 608590
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 608590
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | ARNP9322046
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 325232
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License Number State | AZ
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