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General NPI Number Information
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NPI Number | 1073795852
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Entity Type | Organization
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Legal Business Name | PROVIDERS DIRECT, PLLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 5546 E 4TH ST SUITE 102
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City | TUCSON
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State | AZ
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Zip | 85711-1452
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Country | US
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Telephone | 520-722-2400
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Fax | 520-323-7531
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Provider Business Mailing Address
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Address Line | 5546 E 4TH ST SUITE 102
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City | TUCSON
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State | AZ
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Zip | 85711-1452
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Country | US
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Telephone | 520-722-2400
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Fax | 520-323-7531
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JOHN SCHMALING
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Credential | ANP
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Telephone | 520-722-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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