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General NPI Number Information
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NPI Number | 1962829713
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Entity Type | Individual
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Provider Name | KATHLEEN POSPISIL BRADY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 24112 W JOMAX RD
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City | WITTMANN
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State | AZ
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Zip | 85361-5506
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Country | US
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Telephone | 602-833-4096
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Fax | 602-536-0870
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Provider Business Mailing Address
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Address Line | 24112 W JOMAX RD
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City | WITTMANN
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State | AZ
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Zip | 85361-5506
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Country | US
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Telephone | 602-833-4096
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Fax | 602-536-0870
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 32300265
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP5393
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License Number State | AZ
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