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General NPI Number Information
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NPI Number | 1427339167
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Entity Type | Individual
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Provider Name | ALEXIS STORY HATCH FNP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 3933 E EDNA AVE
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City | PHOENIX
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State | AZ
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Zip | 85032-2127
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Country | US
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Telephone | 602-569-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 E VILLA THERESA DR
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City | PHOENIX
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State | AZ
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Zip | 85022-1280
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Country | US
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Telephone | 603-475-2616
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 289480
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 064600-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 8158
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 291335
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License Number State | AZ
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