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General NPI Number Information
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NPI Number | 1942679758
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Entity Type | Individual
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Provider Name | FRANCES CONNOLLY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 431 WESTWOOD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5363
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Country | US
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Telephone | 347-426-6017
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Fax | 718-667-6501
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Provider Business Mailing Address
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Address Line | 9201 E MOUNTAIN VIEW RD STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5172
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Country | US
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Telephone | 480-862-1677
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Fax | 480-718-7643
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F339690-1
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License Number State | NY
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