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General NPI Number Information
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NPI Number | 1700101060
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Entity Type | Individual
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Provider Name | LEE ROSE WILDE
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 167 NORTH MAIN ST
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City | TUBA CITY
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State | AZ
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Zip | 86045
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Country | US
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Telephone | 866-976-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 4890 E SNOWSHOE WAY
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-2832
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Country | US
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Telephone | 928-707-9875
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00821
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License Number State | AZ
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