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General NPI Number Information
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NPI Number | 1528210895
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Entity Type | Individual
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Provider Name | DEANNA L. WOELLER N.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2008
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 3141 S MCCLINTOCK DR
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City | TEMPE
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State | AZ
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Zip | 85282-5600
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Country | US
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Telephone | 480-968-5673
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Fax | 602-441-5459
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Provider Business Mailing Address
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Address Line | 451 N MERIDIAN RD
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-3622
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Country | US
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Telephone | 480-678-5215
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Fax | 602-441-5459
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 08-1070
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License Number State | AZ
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