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General NPI Number Information
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NPI Number | 1578939161
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Entity Type | Organization
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Legal Business Name | DESERT HOLISTIC HEALTH PLLC
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 9188 E SAN SALVADOR DRIVE SUITE 205
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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 | 480-336-4195
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Fax |
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Provider Business Mailing Address
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Address Line | 9188 E SAN SALVADOR DRIVE SUITE 205
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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 | 480-336-4195
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Fax | 602-914-7412
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. MEGAN DAVIES
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Credential | FNP-BC
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Telephone | 480-686-6805
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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 | AP7454
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License Number State | AZ
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