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General NPI Number Information
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NPI Number | 1215460175
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Entity Type | Organization
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Legal Business Name | ARIZONA HOUSE CALLS
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 5113 S SAN JUAN PL
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City | CHANDLER
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State | AZ
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Zip | 85249-3726
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Country | US
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Telephone | 480-299-0372
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Fax | 480-219-2975
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Provider Business Mailing Address
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Address Line | PO BOX 12304
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City | CHANDLER
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State | AZ
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Zip | 85248-0022
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Country | US
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Telephone | 480-299-0372
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Fax | 480-219-2975
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEGAN SPEARS
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Credential | NP
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Telephone | 480-299-0372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP2819
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License Number State | AZ
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