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General NPI Number Information
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NPI Number | 1942164959
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Entity Type | Individual
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Provider Name | PATRICK RONALD NEAL NP
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Gender | Male
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 1200 N BEAVER ST
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3118
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Country | US
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Telephone | 928-779-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 PEGASUS RD
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City | BELLEMONT
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State | AZ
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Zip | 86015-5115
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Country | US
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Telephone | 253-314-3267
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 273189
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License Number State | AZ
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