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General NPI Number Information
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NPI Number | 1285206144
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Entity Type | Individual
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Provider Name | LISA ROSCH DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 11333 N SCOTTSDALE RD STE 230
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5188
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Country | US
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Telephone | 480-000-0000
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Fax | 480-631-7374
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Provider Business Mailing Address
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Address Line | 11333 N SCOTTSDALE RD # AZ
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5185
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Country | US
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Telephone | 480-631-7373
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 258024
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License Number State | AZ
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