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General NPI Number Information
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NPI Number | 1326629775
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Entity Type | Individual
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Provider Name | ALEXIS ROSANNE LINCOLN NP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2021
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 9520 W PALM LN STE 220
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City | PHOENIX
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State | AZ
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Zip | 85037-4403
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8697
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Provider Business Mailing Address
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Address Line | 4550 E BELL RD STE 170
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City | PHOENIX
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State | AZ
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Zip | 85032-9385
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Country | US
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Telephone | 480-443-8400
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Fax | 480-433-8697
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 290314
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 290314
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License Number State | AZ
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