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General NPI Number Information
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NPI Number | 1013241165
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Entity Type | Organization
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Legal Business Name | SANTAN HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2982 E LOWELL AVE
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City | GILBERT
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State | AZ
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Zip | 85295-1403
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Country | US
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Telephone | 480-238-7621
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Fax | 620-647-4819
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Provider Business Mailing Address
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Address Line | 2181 E PECOS RD SUITE 1
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City | CHANDLER
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State | AZ
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Zip | 85225-6140
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Country | US
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Telephone | 480-398-3638
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Fax | 480-398-3643
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MATTHEW KHUMALO
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Credential | MD
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Telephone | 480-398-3638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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