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General NPI Number Information
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NPI Number | 1285743385
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Entity Type | Individual
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Provider Name | ANN RUSSELL ENGEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 4344 WOODLANDS BLVD STE 260
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2801
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Country | US
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Telephone | 303-649-3155
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Fax | 303-649-3156
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Provider Business Mailing Address
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Address Line | PO BOX 7188
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City | TEMPE
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State | AZ
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Zip | 85281-0007
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Country | US
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Telephone | 480-231-2020
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Fax | 480-755-5069
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0066144
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26455
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License Number State | AZ
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