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General NPI Number Information
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NPI Number | 1255402038
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Entity Type | Organization
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Legal Business Name | TUCSON VEIN INSTITUTE LLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2304 N ROSEMONT BLVD
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City | TUCSON
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State | AZ
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Zip | 85712-2139
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Country | US
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Telephone | 520-400-8364
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Fax | 520-347-4302
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Provider Business Mailing Address
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Address Line | 2304 N ROSEMONT BLVD
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City | TUCSON
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State | AZ
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Zip | 85712-2139
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Country | US
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Telephone | 520-400-8364
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Fax | 520-347-4302
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT FRANK LOPEZ
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Credential | FNP,CNS,CRNFA
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Telephone | 520-400-8364
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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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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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