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General NPI Number Information
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NPI Number | 1265490783
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Entity Type | Individual
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Provider Name | ALBERT JESUS GAMEZ JR. MSN
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2025 N 3RD ST SUITE 170
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City | PHOENIX
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State | AZ
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Zip | 85004-1471
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Country | US
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Telephone | 602-794-2678
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Fax | 602-462-1186
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Provider Business Mailing Address
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Address Line | 6340 S RURAL RD #118-209
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City | TEMPE
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State | AZ
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Zip | 85283-2932
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Country | US
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Telephone | 602-663-4057
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Fax | 602-462-1186
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP2059
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License Number State | AZ
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