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General NPI Number Information
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NPI Number | 1013632173
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Entity Type | Organization
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Legal Business Name | DESERT MATERNAL FETAL MEDICINE
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 306
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4525
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Country | US
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Telephone | 480-636-1149
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Fax | 214-383-8360
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Provider Business Mailing Address
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Address Line | PO BOX 8022
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City | CHANDLER
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State | AZ
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Zip | 85246-8022
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Country | US
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Telephone | 480-636-1149
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GUADALUPE HERRERA GARCIA
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Credential | DO
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Telephone | 214-383-8360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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