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General NPI Number Information
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NPI Number | 1174278014
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Entity Type | Organization
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Legal Business Name | DIRECT CARE TELEHEALTH
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 27418 N 93RD ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-9015
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Country | US
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Telephone | 831-818-9833
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Fax | 480-701-8235
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Provider Business Mailing Address
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Address Line | 919 N DYSART RD STE F
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City | AVONDALE
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State | AZ
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Zip | 85323-1711
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Country | US
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Telephone | 480-701-8235
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Fax | 480-701-8235
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MICAELA STREVAY
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Credential | FNP
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Telephone | 207-740-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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