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General NPI Number Information
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NPI Number | 1265754576
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Entity Type | Individual
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Provider Name | SHEILA SUE JANISCH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2010
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 9913 N 95TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4586
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Country | US
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Telephone | 480-860-8998
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Fax | 480-377-9245
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Provider Business Mailing Address
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Address Line | 1850 N CENTRAL AVE SUITE 1600
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City | PHOENIX
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State | AZ
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Zip | 85004-4527
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Country | US
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Telephone | 602-262-8900
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Fax | 602-744-4799
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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 | AP3559
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License Number State | AZ
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