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General NPI Number Information
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NPI Number | 1649420647
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Entity Type | Individual
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Provider Name | NADYA EDWARDS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 10565 N TATUM BLVD SUITE B-116
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1095
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Country | US
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Telephone | 480-991-3203
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Fax | 480-991-3997
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Provider Business Mailing Address
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Address Line | 10565 N. TATUM SUITE B-116
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253
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Country | US
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Telephone | 480-991-3203
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Fax | 480-991-3997
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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 | RN114597
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License Number State | AZ
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