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General NPI Number Information
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NPI Number | 1316650294
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Entity Type | Individual
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Provider Name | ALYSSA VECCHIO NP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 451 E UNIVERSITY DR
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City | TEMPE
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State | AZ
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Zip | 85281-5390
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Country | US
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Telephone | 480-965-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 N 26TH ST UNIT 3
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City | PHOENIX
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State | AZ
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Zip | 85016-5649
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Country | US
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Telephone | 480-241-0230
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 285283
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License Number State | AZ
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