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General NPI Number Information
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NPI Number | 1972751105
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Entity Type | Individual
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Provider Name | DEBORAH SUE REICH WHNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 2925 W ROSE GARDEN LN SUITE 110
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City | PHOENIX
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State | AZ
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Zip | 85027-4028
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Country | US
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Telephone | 623-265-7215
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Fax | 833-465-1462
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Provider Business Mailing Address
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Address Line | 26522 N 51ST DR
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City | PHOENIX
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State | AZ
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Zip | 85083-1274
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP3091
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP3091
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License Number State | AZ
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