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General NPI Number Information
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NPI Number | 1457241861
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Entity Type | Organization
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Legal Business Name | 101 MOBILE MEDICAL GROUP OF AZ
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 14350 N FRANK LLOYD WRIGHT BLVD STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8843
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Country | US
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Telephone | 480-867-6405
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Fax | 480-863-6315
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Provider Business Mailing Address
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Address Line | 14350 N FRANK LLOYD WRIGHT BLVD STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8843
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Country | US
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Telephone | 480-867-6405
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Fax | 480-863-6315
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Authorized Official
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Title or Position | CEO
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Name | DINA ARGUILLO
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Credential |
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Telephone | 480-867-6405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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