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General NPI Number Information
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NPI Number | 1215511746
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Entity Type | Organization
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Legal Business Name | APP OF SOUTHERN ARIZONA HM LLC
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 1551 E TANGERINE RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6213
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Country | US
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Telephone | 520-901-3500
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Fax | 629-216-0568
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Provider Business Mailing Address
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Address Line | 5121 MARYLAND WAY STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7516
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Country | US
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Telephone |
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Fax | 629-216-0568
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Authorized Official
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Title or Position | CFO
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Name | JAMES GRIMES
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Credential |
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Telephone | 615-551-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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