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General NPI Number Information
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NPI Number | 1356345086
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Entity Type | Individual
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Provider Name | JOHN F KONINGS MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 306 E MONROE AVE
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City | BUCKEYE
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State | AZ
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Zip | 85326-2706
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Country | US
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Telephone | 623-836-4814
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Fax | 623-386-4593
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Provider Business Mailing Address
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Address Line | 12550 W THUNDERBIRD RD STE 102
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City | EL MIRAGE
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State | AZ
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Zip | 85335-4966
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Country | US
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Telephone | 623-556-8860
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Fax | 623-876-9559
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 23685
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License Number State | AZ
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