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General NPI Number Information
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NPI Number | 1356811970
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Entity Type | Individual
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Provider Name | LYNNE SHAUNTE COLEMAN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 8088 W WHITNEY DR
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City | PEORIA
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State | AZ
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Zip | 85345-6564
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Country | US
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Telephone | 602-655-2000
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Fax | 602-655-9563
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Provider Business Mailing Address
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Address Line | 2929 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-8034
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Country | US
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Telephone | 602-470-5000
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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 | 219455
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License Number State | AZ
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