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General NPI Number Information
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NPI Number | 1285183467
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEALTHCARE CONNECTION, PLLC
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 2390 E GERONIMO ST
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City | CHANDLER
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State | AZ
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Zip | 85225-2339
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Country | US
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Telephone | 480-699-2757
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Fax | 480-699-2757
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Provider Business Mailing Address
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Address Line | 2390 E GERONIMO ST
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City | CHANDLER
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State | AZ
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Zip | 85225-2339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA O'BANNON
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Credential |
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Telephone | 480-699-2757
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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 | RN 060080
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License Number State | AZ
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