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General NPI Number Information
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NPI Number | 1326215401
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Entity Type | Organization
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Legal Business Name | NP-PRIVATE PRACTICE ASSOC, LLC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 7331 E OSBORN DR SUITE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-874-2900
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Fax | 480-874-2902
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Provider Business Mailing Address
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Address Line | 7331 E OSBORN DR SUITE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-874-2900
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Fax | 480-874-2902
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Authorized Official
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Title or Position | OWNER
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Name | TRUDY J RUMANN HEIL
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Credential | FNP-C
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Telephone | 480-874-2900
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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 | RN056661
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License Number State | AZ
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