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General NPI Number Information
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NPI Number | 1043630783
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Entity Type | Organization
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Legal Business Name | CARE ONE LLC
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 13934 N 59TH AVE STE 100
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City | GLENDALE
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State | AZ
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Zip | 85306-4168
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Country | US
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Telephone | 602-635-3425
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Fax | 602-419-3025
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Provider Business Mailing Address
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Address Line | 3219 E CAMELBACK RD STE 588
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 602-635-3425
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Fax | 602-419-3025
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Authorized Official
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Title or Position | OWNER
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Name | TODD DREITZLER
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Credential | M.D.
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Telephone | 602-321-4151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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