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NPI 1235003112

NPI 1235003112 : ARIZONA FAMILY HEALTH PLLC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1235003112
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIZONA FAMILY HEALTH PLLC 
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Dates
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    Enumeration Date     |    10/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    8002 W ELECTRA LN 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85383-5631
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    Country              |    US
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    Telephone            |    623-293-6262
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8002 W ELECTRA LN 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85383-5631
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    Country              |    US
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    Telephone            |    623-293-6262
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ADRIANA M ALLEN 
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    Credential           |    
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    Telephone            |    623-293-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2081H0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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