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General NPI Number Information
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NPI Number | 1720998040
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Entity Type | Individual
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Provider Name | DANNELLE LOUDEN
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 20807 W INDIAN SCHOOL RD UNIT 402
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City | BUCKEYE
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State | AZ
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Zip | 85396-0022
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Country | US
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Telephone | 970-819-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 6622 N 91ST AVE STE 100
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City | GLENDALE
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State | AZ
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Zip | 85305-2512
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Country | US
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Telephone | 623-552-7147
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 310304
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License Number State | AZ
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