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General NPI Number Information
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NPI Number | 1932782653
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Entity Type | Organization
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Legal Business Name | NERVE 20 PLLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 455 N MESA DR STE 12
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City | MESA
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State | AZ
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Zip | 85201-5936
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Country | US
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Telephone | 480-556-9789
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Fax |
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Provider Business Mailing Address
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Address Line | 455 N MESA DR STE 12
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City | MESA
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State | AZ
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Zip | 85201-5936
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Country | US
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Telephone | 480-567-9789
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Fax | 877-540-0687
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIE TAYLOR ZAFUTO
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Credential | DNP, FNP
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Telephone | 480-567-9789
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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 |
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License Number State |
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