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General NPI Number Information
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NPI Number | 1174712855
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Entity Type | Organization
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Legal Business Name | DR. THOMAS C SCHERICH
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 452 W FINNIE FLATS RD STE O
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City | CAMP VERDE
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State | AZ
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Zip | 86322-7298
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Country | US
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Telephone | 928-567-6458
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Fax | 928-567-6459
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | CAMP VERDE
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State | AZ
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Zip | 86322-0549
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Country | US
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Telephone | 928-567-6458
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Fax | 928-567-6459
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MONA KUBLI
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Credential |
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Telephone | 928-639-2090
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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 | 3153
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License Number State | AZ
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