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General NPI Number Information
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NPI Number | 1144171372
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE AND INFECTIOUS DISEASE
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 5650 W CHANDLER BLVD BLDG 2 STE 9
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City | CHANDLER
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State | AZ
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Zip | 85226
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Country | US
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Telephone | 919-943-3229
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 W ELLIOT RD # 1126
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City | TEMPE
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State | AZ
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Zip | 85284-1107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. MATILDA OLAJUMOKE BARAKA
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Credential | MD, MPH
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Telephone | 919-943-3229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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