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General NPI Number Information
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NPI Number | 1699316992
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Entity Type | Individual
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Provider Name | GWENDOLINE DAPENA NP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 286 S LENZNER AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5685
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Country | US
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Telephone | 520-452-0388
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Fax | 877-281-8622
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Provider Business Mailing Address
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Address Line | 286 S LENZNER AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5685
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Country | US
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Telephone | 520-452-0388
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Fax | 877-281-8622
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9367699
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License Number State | FL
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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 | 11019321
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 339957
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License Number State | AZ
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