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General NPI Number Information
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NPI Number | 1982140885
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Entity Type | Organization
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Legal Business Name | CONQUER, PLLC
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 9375 E SHEA BLVD STE 266
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City | SCOTTSDALE
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State | AZ
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Zip | 85260
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Country | US
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Telephone | 480-652-2931
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 N 127TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4330
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Country | US
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Telephone | 480-652-2931
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LOKESWARI BUCCHIREDDIGARI
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Credential | MSN, FNP-C
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Telephone | 480-652-2931
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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 | AP5312
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP5312
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License Number State | AZ
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