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General NPI Number Information
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NPI Number | 1043690381
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Entity Type | Organization
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Legal Business Name | QUALITY PALLIATIVE CARE, INC.
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 1112 E WASHINGTON ST
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City | PHOENIX
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State | AZ
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Zip | 85034-1010
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Country | US
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Telephone | 602-621-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 E WASHINGTON ST
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City | PHOENIX
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State | AZ
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Zip | 85034-1010
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Country | US
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Telephone | 602-621-4995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CLIDE CALFA
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Credential |
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Telephone | 602-266-2203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | UNC7051
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License Number State | AZ
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