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General NPI Number Information
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NPI Number | 1720097389
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Entity Type | Individual
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Provider Name | DEBORAH S KORBITZ CNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 10238 E HAMPTON AVE STE 416
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City | MESA
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State | AZ
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Zip | 85209-3320
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Country | US
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Telephone | 480-561-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10238 E HAMPTON AVE STE 416
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City | MESA
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State | AZ
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Zip | 85209-3320
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Country | US
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Telephone | 480-561-5000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5429
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License Number State | MN
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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 | 2952
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License Number State | AZ
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