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General NPI Number Information
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NPI Number | 1942040746
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Entity Type | Organization
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Legal Business Name | G-LIFE FAMILY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 534 W CHAPAWEE TRL
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-1303
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Country | US
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Telephone | 704-287-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 534 W CHAPAWEE TRL
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-1303
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Country | US
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Telephone | 704-287-6389
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Fax |
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Authorized Official
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Title or Position | MS.
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Name | ESTHER ANSAH NUAMAH
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Credential | NP
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Telephone | 480-393-0575
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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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