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General NPI Number Information
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NPI Number | 1720729254
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Entity Type | Individual
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Provider Name | REBECCA ANN JOHNS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1901 E UNIVERSITY DR STE 200
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City | MESA
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State | AZ
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Zip | 85203-8308
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Country | US
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Telephone | 480-999-7911
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Fax | 480-499-5829
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Provider Business Mailing Address
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Address Line | 4207 N 78TH WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-4112
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Country | US
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Telephone | 480-300-9505
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Fax | 480-781-4862
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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 | 280161
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN152911
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License Number State | AZ
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