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General NPI Number Information
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NPI Number | 1225086028
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Entity Type | Organization
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Legal Business Name | ST LUKES MEDICAL CENTER LP
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 1500 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-6699
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Country | US
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Telephone | 480-784-5500
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Fax | 480-754-5539
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Provider Business Mailing Address
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Address Line | 1500 S MILL AVE ATTN: BILLING
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City | TEMPE
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State | AZ
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Zip | 85281-6699
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Country | US
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Telephone | 480-784-5500
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Fax | 480-784-5539
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Authorized Official
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Title or Position | HOSPITAL CEO
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Name | JAMES T FLINN
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Credential |
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Telephone | 602-251-8116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H0047
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License Number State | AZ
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