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General NPI Number Information
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NPI Number | 1457279721
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Entity Type | Individual
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Provider Name | JOEL A PAREDES RN
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 120 E 1ST ST
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5202
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Country | US
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Telephone | 520-280-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE R
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number |
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License Number State |
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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 | 228299
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License Number State | AZ
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