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General NPI Number Information
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NPI Number | 1316403363
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Entity Type | Individual
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Provider Name | AMBER S TRUJILLO CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3050 N LITCHFIELD RD STE 120
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City | GOODYEAR
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State | AZ
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Zip | 85395-7805
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Country | US
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Telephone | 480-585-5200
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Fax | 480-585-5200
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Provider Business Mailing Address
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Address Line | 7010 E CHAUNCEY LN STE 225
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City | PHOENIX
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State | AZ
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Zip | 85054-3117
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Country | US
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Telephone | 480-585-5200
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Fax | 480-585-5200
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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 | 322329
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN212818
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License Number State | AZ
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