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General NPI Number Information
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NPI Number | 1558481986
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Entity Type | Individual
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Provider Name | BECKY VAN BUREN FNP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 4136 N 75TH AVE STE 101
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City | PHOENIX
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State | AZ
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Zip | 85033-3171
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Country | US
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Telephone | 623-849-2220
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Fax | 623-849-2574
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Provider Business Mailing Address
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Address Line | 1343 N ALMA SCHOOL RD STE 160
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City | CHANDLER
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State | AZ
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Zip | 85224-5901
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Country | US
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Telephone | 480-963-1853
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Fax | 480-963-1854
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 074771
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License Number State | AZ
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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 | AP3400
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License Number State | AZ
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