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General NPI Number Information
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NPI Number | 1336224369
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Entity Type | Organization
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Legal Business Name | DESERT OASIS MEDICAL CENTER, PLLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1225 HANCOCK RD STE C
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-5961
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Country | US
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Telephone | 928-758-0121
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Fax | 928-758-0128
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Provider Business Mailing Address
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Address Line | 1225 HANCOCK RD STE C
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-5961
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Country | US
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Telephone | 928-758-0121
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Fax | 928-758-0128
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Authorized Official
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Title or Position | MD
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Name | DR. WAHEED ZEHRI
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Credential | MD
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Telephone | 928-758-0121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 023454
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License Number State | AZ
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