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General NPI Number Information
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NPI Number | 1417415183
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Entity Type | Individual
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Provider Name | MARIE EKREN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 21139 S 187TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-3584
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Country | US
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Telephone | 602-345-0348
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Fax | 602-848-8890
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Provider Business Mailing Address
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Address Line | 42068 N RATTLESNAKE RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-8858
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Country | US
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Telephone | 602-345-0348
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Fax | 602-848-8890
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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 | RN138316
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License Number State | AZ
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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 | RNP246860
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License Number State | AZ
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