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General NPI Number Information
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NPI Number | 1306964788
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Entity Type | Individual
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Provider Name | CECILIA AVALOS CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7000 E SHEA BLVD STE 1612
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6138
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Country | US
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Telephone | 602-730-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 E SHEA BLVD #1612
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-730-4030
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP2561
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License Number State | AZ
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