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General NPI Number Information
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NPI Number | 1639392442
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Entity Type | Individual
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Provider Name | MARY MAURIZI AWP C APRN BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 330 E MEADVIEW BLVD SUITE F
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City | MEADVIEW
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State | AZ
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Zip | 86444
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Country | US
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Telephone | 928-715-6991
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Fax | 928-564-2661
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Provider Business Mailing Address
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Address Line | 26086 PEACH LN P O BOX 531
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City | MEADVIEW
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State | AZ
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Zip | 86444
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Country | US
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Telephone | 928-715-6991
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Fax | 928-564-2661
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AZ2361
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License Number State | AZ
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