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General NPI Number Information
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NPI Number | 1770705196
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Entity Type | Individual
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Provider Name | PAULA LYNN MAZZACANO N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 8415 N PIMA RD SUITE 210
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4480
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Country | US
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Telephone | 480-425-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 E CHISUM TRL
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City | PHOENIX
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State | AZ
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Zip | 85050-8568
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Country | US
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Telephone | 480-585-0674
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN027760
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License Number State | AZ
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