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General NPI Number Information
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NPI Number | 1801345004
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARIZONA NURSING AND HEALTH ASSOCIATES
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 1305 N MARTIN AVE
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City | TUCSON
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State | AZ
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Zip | 85721-0001
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Country | US
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Telephone | 520-626-6154
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Fax | 520-626-6424
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Provider Business Mailing Address
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Address Line | 1305 N MARTIN AVE
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City | TUCSON
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State | AZ
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Zip | 85721-0001
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Country | US
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Telephone | 520-626-6154
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Fax | 520-626-6424
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Authorized Official
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Title or Position | DIRECTOR OF PRACTICE INNOVATIONS
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Name | DR. ALLEN VAUGHAN PRETTYMAN
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Credential | PHD, FNP
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Telephone | 520-621-1995
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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 | AP7965
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License Number State | AZ
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