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General NPI Number Information
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NPI Number | 1770194243
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Entity Type | Individual
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Provider Name | ALEJANDRO A DACANAY FNP
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Gender | Male
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1432 S DOBSON RD STE 106
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City | MESA
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State | AZ
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Zip | 85202-4769
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Country | US
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Telephone | 480-969-3637
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Fax | 480-969-6568
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Provider Business Mailing Address
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Address Line | PO BOX 6423
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City | CHANDLER
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State | AZ
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Zip | 85246-6423
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Country | US
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Telephone | 480-855-2224
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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 | APRN221834
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License Number State | AZ
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