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General NPI Number Information
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NPI Number | 1538301015
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Entity Type | Individual
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Provider Name | RENEE KAREN CHASE MS-FNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 2145 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1546
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Country | US
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Telephone | 480-353-2210
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Fax | 480-776-0025
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Provider Business Mailing Address
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Address Line | 41309 N BELFAIR WAY
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City | ANTHEM
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State | AZ
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Zip | 85086-1232
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Country | US
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Telephone | 623-262-3993
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APM.0004578-C-NP
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License Number State | CO
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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 | AP3312
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License Number State | AZ
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