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General NPI Number Information
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NPI Number | 1740665223
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Entity Type | Organization
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Legal Business Name | NEW LIFE WOMEN'S HEALTH PLLC
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 10752 N 89TH PL SUITE 220B
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6730
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Country | US
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Telephone | 480-225-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 6748 E CAMINO DE LOS RANCHOS
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3908
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Country | US
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Telephone | 480-225-0909
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Fax |
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Authorized Official
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Title or Position | WHNP AND OWNER
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Name | MISS AMBER ANN SWANSON
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Credential | WHNP
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Telephone | 480-225-0909
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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 | RN126613
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License Number State | AZ
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