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General NPI Number Information
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NPI Number | 1548224421
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Entity Type | Individual
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Provider Name | GAIL MARY PIGEON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 9929 NORTH 95TH STREET SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 602-296-7181
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Fax | 602-281-6783
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Provider Business Mailing Address
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Address Line | 4640 E VIRGINIA AVE
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City | PHOENIX
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State | AZ
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Zip | 85008-1514
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Country | US
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Telephone | 602-296-7181
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Fax | 602-281-6783
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN047588
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License Number State | AZ
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