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General NPI Number Information
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NPI Number | 1336480243
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Entity Type | Individual
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Provider Name | ANNELI KUMPULA FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 7227 W BLUEFIELD AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-8115
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Country | US
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Telephone | 623-776-5366
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Fax | 623-252-0575
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Provider Business Mailing Address
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Address Line | 7227 W BLUEFIELD AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-8115
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Country | US
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Telephone | 623-776-5366
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Fax | 623-252-0575
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0003350
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP4902
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4902
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License Number State | AZ
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