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General NPI Number Information
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NPI Number | 1518068485
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Entity Type | Individual
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Provider Name | LYNN ELLEN HARTZ ANP FNP MSN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 4231 LAKE OTIS PARKWAY
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City | ANCHORAGE
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State | AK
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Zip | 99508-5214
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Country | US
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Telephone | 907-562-2965
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Fax | 907-561-1257
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Provider Business Mailing Address
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Address Line | 3104 BROOKSIDE DRIVE
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City | ANCHORAGE
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State | AK
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Zip | 99517-1882
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Country | US
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Telephone | 907-248-4877
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Fax | 907-561-1257
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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 | 6966
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0006
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 6966
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0006
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License Number State | AK
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