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General NPI Number Information
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NPI Number | 1184378242
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH WALK-IN CLINIC LLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 928 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-8691
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Country | US
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Telephone | 480-450-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 928 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-8691
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Country | US
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Telephone | 480-450-7707
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | MR. STEVE JOSEPH CSANYI
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Credential | FNP
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Telephone | 480-450-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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