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General NPI Number Information
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NPI Number | 1578726675
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Entity Type | Individual
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Provider Name | LISA M MATURO ND
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Gender | Female
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 5801 S. MCCLINTOCK DR #105
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City | TEMPE
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 480-730-2755
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Fax | 480-730-2759
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Provider Business Mailing Address
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Address Line | 5801 S. MCCLINTOCK DR. SUITE 105
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City | TEMPE
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 480-730-2755
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Fax | 480-730-2759
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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 | 03-718
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License Number State | AZ
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