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General NPI Number Information
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NPI Number | 1245118538
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Entity Type | Organization
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Legal Business Name | DIABETES NEUROPATHY CENTER
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 412 WHIPPLE ST
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City | PRESCOTT
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State | AZ
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Zip | 86301-1712
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Country | US
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Telephone | 480-788-5621
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Fax | 480-779-1277
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Provider Business Mailing Address
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Address Line | 412 WHIPPLE ST
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City | PRESCOTT
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State | AZ
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Zip | 86301-1712
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Country | US
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Telephone | 480-788-5621
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Fax | 480-779-1277
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Authorized Official
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Title or Position | DIRECTOR
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Name | THUY LINH NGUYEN
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Credential |
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Telephone | 623-693-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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