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General NPI Number Information
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NPI Number | 1336433242
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Entity Type | Individual
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Provider Name | CHERYL B HNATIUK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4840 E INDIAN SCHOOL RD SUITE 101
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City | PHOENIX
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State | AZ
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Zip | 85018-5500
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Country | US
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Telephone | 602-258-3696
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Fax | 602-865-8933
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Provider Business Mailing Address
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Address Line | 26740 N 98TH DR
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City | PEORIA
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State | AZ
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Zip | 85383-2944
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Country | US
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Telephone | 810-241-5459
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Fax | 918-512-4768
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP3894
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License Number State | AZ
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