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General NPI Number Information
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NPI Number | 1447771704
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Entity Type | Individual
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Provider Name | JACQUELINE M REVEAL DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 5111 N SCOTTSDALE RD STE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7075
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Country | US
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Telephone | 480-970-1937
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Fax | 480-970-1938
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Provider Business Mailing Address
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Address Line | 28515 N NORTH VALLEY PKWY APT 3076
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City | PHOENIX
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State | AZ
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Zip | 85085-5425
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Country | US
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Telephone |
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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 | AP9967
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License Number State | AZ
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