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General NPI Number Information
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NPI Number | 1487701017
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Entity Type | Individual
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Provider Name | JULIE DENISE STONEROAD VEDDA APA-C, MPAS
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5636 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85008-3455
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Country | US
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Telephone | 602-629-4363
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Fax | 602-267-2965
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Provider Business Mailing Address
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Address Line | 1444 E CORONADO RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2251
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Country | US
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Telephone | 602-252-3772
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Fax | 602-267-2965
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1890
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License Number State | AZ
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