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General NPI Number Information
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NPI Number | 1346659018
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Entity Type | Organization
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Legal Business Name | MD BUSINESS SOLUTIONS CORP
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 445 S 48TH ST 109
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City | TEMPE
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State | AZ
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Zip | 85281
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Country | US
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Telephone | 480-945-2558
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Fax |
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Provider Business Mailing Address
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Address Line | 445 S 48TH ST 109 C
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City | TEMPE
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State | AZ
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Zip | 85281
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Country | US
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Telephone | 480-945-2558
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | PROF. ARNOLDO PROCELA LOPEZ
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Credential | JD
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Telephone | 520-400-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 12985
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License Number State | AZ
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