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General NPI Number Information
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NPI Number | 1306862255
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Entity Type | Organization
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Legal Business Name | RM ALLIANCE FAMILY HEALTH CTR INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13821 N 35TH DR STE 1
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City | PHOENIX
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State | AZ
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Zip | 85053-5541
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Country | US
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Telephone | 602-866-2843
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Fax | 602-866-2847
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Provider Business Mailing Address
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Address Line | POC MANAGEMENT LLC 3000 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | WAYNE FINLEY
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Credential |
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Telephone | 602-866-2843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 14434
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License Number State | AZ
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