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General NPI Number Information
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NPI Number | 1467698282
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Entity Type | Organization
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Legal Business Name | UC PHYSICIANS OF PARKER AZ
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 1200 W MOHAVE RD
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City | PARKER
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State | AZ
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Zip | 85344-6349
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Country | US
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Telephone | 928-669-9201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 98653
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City | LAS VEGAS
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State | NV
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Zip | 89193
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Country | US
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Telephone | 800-444-7009
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Fax |
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Authorized Official
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Title or Position | EXEC. VICE PRESIDENT, EPP, INC.
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Name | MR. JAMES L MURPHY
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Credential |
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Telephone | 800-444-7009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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