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NPI 1306211073

NPI 1306211073 : BETHANY ANNE STRICKLAND NP : PRESCOTT, AZ

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General NPI Number Information
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    NPI Number           |    1306211073
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    Entity Type          |    Individual 
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    Provider Name        |    BETHANY ANNE STRICKLAND NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2015
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    1001 DIVISION ST 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86301-1601
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    Country              |    US
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    Telephone            |    928-775-5567
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    Fax                  |    928-772-1522
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10880 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86304-0880
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    Country              |    US
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    Telephone            |    602-406-4786
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    Fax                  |    916-636-4358
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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       |    305913
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    License Number State |    AZ
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