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General NPI Number Information
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NPI Number | 1508225731
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Entity Type | Organization
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Legal Business Name | ANA BEN SHABAT FNP-BC PLLC
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 4496 N VIA BELLAS CATALINAS
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City | TUCSON
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State | AZ
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Zip | 85718-7426
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Country | US
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Telephone | 520-245-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 4496 N VIA BELLAS CATALINAS
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City | TUCSON
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State | AZ
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Zip | 85718-7426
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Country | US
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Telephone | 520-245-2156
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANA BEN SHABAT
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Credential | FNP
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Telephone | 520-245-2156
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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 | AP3494
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License Number State | AZ
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