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General NPI Number Information
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NPI Number | 1417909441
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Entity Type | Organization
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Legal Business Name | JAVIER R. RIOS M.D. A MEDICAL PROFESSIONAL CORP.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 3770 S 16TH AVE
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City | TUCSON
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State | AZ
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Zip | 85713-6081
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Country | US
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Telephone | 520-620-1200
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Fax | 520-620-0245
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Provider Business Mailing Address
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Address Line | 3770 S 16TH AVE
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City | TUCSON
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State | AZ
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Zip | 85713-6081
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Country | US
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Telephone | 520-620-1200
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Fax | 520-620-0245
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAVIER R RIOS
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Credential | M.D.
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Telephone | 520-620-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 30370
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License Number State | AZ
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