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General NPI Number Information
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NPI Number | 1386955573
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Entity Type | Individual
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Provider Name | CHAROLETTE HEMENWAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1855 W BASELINE RD
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City | MESA
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State | AZ
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Zip | 85202-9000
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Country | US
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Telephone | 480-831-7566
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Fax | 480-831-7563
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Provider Business Mailing Address
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Address Line | 16211 N SCOTTSDALE RD #232
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 808-517-1225
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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 | AP7989
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License Number State | AZ
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