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General NPI Number Information
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NPI Number | 1154474310
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Entity Type | Organization
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Legal Business Name | BEST MEDICAL/URGENT CARE LLC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 325 E BASELINE RD
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City | PHOENIX
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State | AZ
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Zip | 85042-6510
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Country | US
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Telephone | 602-824-4200
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Fax | 602-824-4259
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Provider Business Mailing Address
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Address Line | 325 E BASELINE RD
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City | PHOENIX
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State | AZ
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Zip | 85042-6510
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Country | US
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Telephone | 602-824-4200
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Fax | 602-824-4215
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Authorized Official
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Title or Position | CEO
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Name | MS. CARLENE E DANIS
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Credential | RN
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Telephone | 602-824-4640
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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 | 29250
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License Number State | AZ
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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 | 2816
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | OTC0106
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License Number State | AZ
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