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General NPI Number Information
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NPI Number | 1982048864
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Entity Type | Individual
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Provider Name | BERTHA ELENA ESCOBAR APN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 37100 N GANTZEL RD STE 201
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-7352
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Country | US
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Telephone | 480-384-4469
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Fax | 480-394-4520
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Provider Business Mailing Address
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Address Line | 37100 N GANTZEL RD STE 201
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-7352
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Country | US
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Telephone | 480-394-4469
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Fax | 480-394-4520
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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 | 318924
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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 | 209010284
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License Number State | IL
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