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General NPI Number Information
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NPI Number | 1346430683
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Entity Type | Individual
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Provider Name | PAULETTE ANN ORGILL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 14780 W. MOUNTAIN VIEW BLVD. SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax | 877-796-5302
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Provider Business Mailing Address
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Address Line | 14780 W. MOUNTAIN VIEW BLVD. SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax | 877-796-5302
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2002904408
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3301
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License Number State | AZ
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