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General NPI Number Information
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NPI Number | 1073987178
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Entity Type | Organization
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Legal Business Name | CARELON MEDICAL PARTNERS OF ARIZONA PC
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1530 E EUCLID AVE
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City | DES MOINES
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State | IA
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Zip | 50313
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Country | US
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Telephone | 562-741-4470
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Fax | 562-741-4479
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Provider Business Mailing Address
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Address Line | 12900 PARK PLAZA DR STE 150
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-741-4470
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Fax | 562-741-4479
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY ALBION
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Credential | MD
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Telephone | 603-268-5146
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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 |
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License Number State |
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