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General NPI Number Information
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NPI Number | 1275643157
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Entity Type | Organization
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Legal Business Name | DESERT VALLEY FAMILY MEDICINE
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 2045 N DOBSON RD
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City | CHANDLER
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State | AZ
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Zip | 85224-9601
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Country | US
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Telephone | 480-838-4277
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Fax | 480-777-2331
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Provider Business Mailing Address
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Address Line | 2045 NORTH DOBSON RD
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City | CHANDLER
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State | AZ
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Zip | 85224-9601
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Country | US
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Telephone | 480-838-4277
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Fax | 480-777-2331
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT
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Name | DR. PAUL S LAVEN
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Credential | DO
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Telephone | 480-838-4277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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