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General NPI Number Information
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NPI Number | 1235398199
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Entity Type | Organization
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Legal Business Name | TRI-CITY EXPRESS CARE, PLLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 495 N PINAL PKWY SUITE #106
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City | FLORENCE
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State | AZ
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Zip | 85132-9292
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Country | US
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Telephone | 520-868-0573
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Fax | 520-868-0533
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Provider Business Mailing Address
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Address Line | 890 W ELLIOT RD SUITE 103
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City | GILBERT
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State | AZ
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Zip | 85233-5102
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Country | US
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Telephone | 480-545-2787
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Fax | 480-545-1434
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. MICHAEL PATRICK DUNN
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Credential | MD
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Telephone | 480-545-1413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | OTC3934
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OTC4452
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License Number State | AZ
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