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General NPI Number Information
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NPI Number | 1184238164
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Entity Type | Organization
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Legal Business Name | MOBILE NP PLLC
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 5807 E VERNON AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-1941
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Country | US
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Telephone | 602-935-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 5807 E VERNON AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-1941
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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 | ACCESS MANAGER
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Name | DONNA SERRANO
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Credential |
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Telephone | 480-907-9900
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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 |
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License Number State |
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