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General NPI Number Information
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NPI Number | 1821998691
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Entity Type | Individual
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Provider Name | KAMRYN MYCHAELA CHURCH BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 21258 N 81ST AVE
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City | PEORIA
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State | AZ
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Zip | 85382-4418
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Country | US
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Telephone | 623-412-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 14768 W SOFT WIND DR
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City | SURPRISE
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State | AZ
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Zip | 85387-1971
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Country | US
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Telephone | 623-738-7417
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 249806
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 249806
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License Number State | AZ
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