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General NPI Number Information
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NPI Number | 1437442076
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Entity Type | Individual
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Provider Name | MARY FRANICE DUNN CNM
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Gender | Female
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 2222 E. HIGHLAND AVE STE. 220 KRONOS LONGEVITY RESEARCH INSTITUTE
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City | PHOENIX
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State | AZ
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Zip | 85016-4876
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Country | US
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Telephone | 602-778-7487
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Fax | 602-778-7490
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Provider Business Mailing Address
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Address Line | 20654 N 16TH PL
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City | PHOENIX
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State | AZ
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Zip | 85024-4355
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Country | US
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Telephone | 602-778-7487
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Fax | 602-778-7490
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP0107
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License Number State | AZ
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