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General NPI Number Information
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NPI Number | 1841155298
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Entity Type | Individual
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Provider Name | BRENDA RIVAS PELAYO AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 20414 N 27TH AVE STE 300
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City | PHOENIX
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State | AZ
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Zip | 85027-3254
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Country | US
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Telephone | 623-879-6000
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Fax | 623-516-2000
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Provider Business Mailing Address
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Address Line | 20414 N 27TH AVE STE 300
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City | PHOENIX
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State | AZ
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Zip | 85027-3254
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Country | US
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Telephone | 623-879-6000
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Fax | 623-516-2000
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 235079
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License Number State | AZ
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