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General NPI Number Information
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NPI Number | 1326648874
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Entity Type | Individual
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Provider Name | REBECCA HAMMES REILLY NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 10631 S 51ST ST STE 8
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City | PHOENIX
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State | AZ
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Zip | 85044-5225
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Country | US
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Telephone | 480-418-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 6633 E GREENWAY PKWY APT 2140
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2053
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Country | US
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Telephone | 807-478-4975
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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 | 248955
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License Number State | AZ
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