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General NPI Number Information
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NPI Number | 1417678947
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Entity Type | Organization
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Legal Business Name | NURSEDX OF ARIZONA LLC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 14358 N FRANK LLOYD WRIGHT BLVD STE 13
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8845
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Country | US
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Telephone | 949-395-6883
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Fax | 866-246-3093
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Provider Business Mailing Address
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Address Line | 6392 MCLEOD DR STE 7
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City | LAS VEGAS
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State | NV
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Zip | 89120-4417
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Country | US
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Telephone | 949-395-6883
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Fax | 866-246-3093
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Authorized Official
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Title or Position | OWNER
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Name | ARLENE GAYARES
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Credential | RN
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Telephone | 949-395-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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