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General NPI Number Information
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NPI Number | 1255011920
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE OF YUMA
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2589 E 24TH ST STE 2
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City | YUMA
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State | AZ
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Zip | 85365-3226
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Country | US
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Telephone | 928-275-3213
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Fax | 928-268-0148
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Provider Business Mailing Address
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Address Line | 2946 S AVENUE B
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City | YUMA
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State | AZ
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Zip | 85364-7704
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Country | US
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Telephone | 928-275-3213
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMY LAUREN WOODMAN
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Credential |
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Telephone | 307-258-2207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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