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General NPI Number Information
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NPI Number | 1225848112
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1520 E HAMMER LN STE 109
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City | FORT MOHAVE
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State | AZ
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Zip | 86426-6665
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Country | US
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Telephone | 928-788-4949
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Fax | 928-788-4953
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8775
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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