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General NPI Number Information
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NPI Number | 1417629445
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Entity Type | Organization
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Legal Business Name | APALA FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 12851 W BELL RD STE 118
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City | SURPRISE
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State | AZ
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Zip | 85378-9609
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Country | US
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Telephone | 623-584-9279
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Fax | 855-978-1884
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Provider Business Mailing Address
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Address Line | PO BOX 1543
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City | SUN CITY
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State | AZ
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Zip | 85372-1543
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Country | US
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Telephone | 623-584-9279
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Fax | 855-978-1884
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Authorized Official
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Title or Position | CEO
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Name | DR. JANE M ABUCHA
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Credential | DNP, ACNP-BC
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Telephone | 623-584-9279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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