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General NPI Number Information
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NPI Number | 1396624987
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Entity Type | Organization
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Legal Business Name | VM MED
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 726 N GREENFIELD RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85234-5062
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Country | US
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Telephone | 315-794-5734
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Fax |
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Provider Business Mailing Address
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Address Line | 726 N GREENFIELD RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85234-5062
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Country | US
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Telephone | 315-794-5734
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA R BROWN
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Credential | MD
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Telephone | 315-794-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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