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NPI 1093789661

NPI 1093789661 : MELIA KAY COX DO : GOODYEAR, AZ

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General NPI Number Information
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    NPI Number           |    1093789661
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    Entity Type          |    Individual 
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    Provider Name        |    MELIA KAY COX DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/13/2006
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    Last Update Date     |    05/12/2021
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Provider Practice Location Address
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    Address Line         |    13471 W CORNERSTONE BLVD 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85395-2713
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    Country              |    US
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    Telephone            |    877-809-5092
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    Fax                  |    623-583-3007
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Provider Business Mailing Address
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    Address Line         |    3033 N CENTRAL AVE STE 145 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85012-2808
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    Country              |    US
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    Telephone            |    623-583-3001
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    Fax                  |    623-583-3007
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    4091
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    License Number State |    AZ
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