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General NPI Number Information
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NPI Number | 1962602011
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Entity Type | Individual
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Provider Name | NEGEDE B AKAL APN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 9201 E MOUNTAIN VIEW RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5199
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Country | US
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Telephone | 187-756-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 E. MOUNTAIN VIEW
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City | SCOTTISDALE
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State | AZ
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Zip | 82258
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Country | US
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Telephone | 187-756-4362
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP009351
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License Number State | PA
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