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General NPI Number Information
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NPI Number | 1699728147
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Entity Type | Individual
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Provider Name | LUCIANA G. ANTHONY WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1142 E SOUTHERN AVE STE 101
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City | MESA
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State | AZ
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Zip | 85204-5056
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Country | US
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Telephone | 480-821-3600
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Fax | 480-963-0470
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Provider Business Mailing Address
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Address Line | PO BOX 6730
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City | CHANDLER
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State | AZ
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Zip | 85246-6730
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Country | US
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Telephone | 480-821-3600
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Fax | 480-857-2667
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP1384
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License Number State | AZ
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