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General NPI Number Information
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NPI Number | 1043550288
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Entity Type | Organization
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Legal Business Name | MBI HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 15396 N 83RD AVE SUITE E
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City | PEORIA
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State | AZ
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Zip | 85381-5622
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Country | US
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Telephone | 623-521-9813
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Fax |
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Provider Business Mailing Address
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Address Line | 15396 N 83RD AVE SUITE E
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City | PEORIA
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State | AZ
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Zip | 85381-5622
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Country | US
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Telephone | 623-521-9813
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. GRACE AKOH-ARREY
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Credential | PHARM D, BCACP, CDE
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Telephone | 623-521-9813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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