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General NPI Number Information
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NPI Number | 1073567756
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Entity Type | Organization
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Legal Business Name | GREGORY M CREVER, MD, PC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 8600 E VIA DE VENTURA STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3324
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Country | US
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Telephone | 480-991-3480
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Fax | 480-991-1006
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Provider Business Mailing Address
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Address Line | 3370 N HAYDEN RD SUITE 123 PMB 312
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6632
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Country | US
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Telephone | 480-991-3480
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Fax | 480-991-1006
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY M CREVER
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Credential | MD
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Telephone | 480-991-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32026
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License Number State | AZ
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