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General NPI Number Information
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NPI Number | 1225089014
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Entity Type | Organization
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Legal Business Name | DESERT HEART CENTER LTD
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 3815 E BELL ROAD SUITE # 3400
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City | PHOENIX
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State | AZ
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Zip | 85032-2159
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Country | US
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Telephone | 602-971-2761
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Fax | 602-917-1529
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Provider Business Mailing Address
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Address Line | 3815 E BELL ROAD SUITE # 3400
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City | PHOENIX
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State | AZ
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Zip | 85032-2159
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Country | US
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Telephone | 602-971-2761
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Fax | 602-917-1529
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LYDIA GALLEGOS
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Credential |
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Telephone | 602-931-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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