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General NPI Number Information
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NPI Number | 1831596667
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Entity Type | Individual
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Provider Name | ANNA M. LILLY NNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 9201 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85037-3332
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Country | US
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Telephone | 623-327-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7720 N 16TH ST SUITE 425
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City | PHOENIX
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State | AZ
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Zip | 85020-4492
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Country | US
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Telephone | 602-476-8962
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | AP7526
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 0024183295
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | NP95009518
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License Number State | CA
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