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General NPI Number Information
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NPI Number | 1548498868
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Entity Type | Individual
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Provider Name | DEBORAH A TWEEDY RN MSN CNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 6320A W UNION HILLS DR SUITE 110
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 623-376-0191
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Fax | 623-376-0197
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Provider Business Mailing Address
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Address Line | 6320A W UNION HILLS DR SUITE 110
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City | GLENDALE
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State | AZ
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Zip | 85308-7177
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Country | US
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Telephone | 623-376-0191
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Fax | 623-376-0197
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN115330
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License Number State | AZ
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