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General NPI Number Information
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NPI Number | 1326391624
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Entity Type | Individual
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Provider Name | LISA WELSH MCCURLEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 1245 S MAIN ST
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City | WILLITS
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State | CA
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Zip | 95490-4305
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Country | US
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Telephone | 707-459-6861
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Fax | 707-459-3057
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Provider Business Mailing Address
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Address Line | 1245 S MAIN ST
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City | WILLITS
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State | CA
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Zip | 95490-4305
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Country | US
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Telephone | 707-459-6861
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Fax | 707-459-3057
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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 | NP95001739
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License Number State | CA
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