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General NPI Number Information
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NPI Number | 1023970704
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PRACTICE OF ARIZONA, PLLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 7494 S POWER RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85297-3751
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Country | US
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Telephone | 480-499-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 920 E WILLIAMS FIELD RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85295-4880
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Country | US
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Telephone | 480-499-0201
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHAEL PATRICK DUNN
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Credential | MD
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Telephone | 480-499-0201
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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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