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General NPI Number Information
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NPI Number | 1467759092
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Entity Type | Organization
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Legal Business Name | ARIZONA PHYSICIAN CONSULTANTS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 1501 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6373
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Country | US
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Telephone | 928-726-6335
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Fax | 928-726-6501
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Provider Business Mailing Address
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Address Line | DEPT 5258
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City | LOS ANGELES
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State | CA
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Zip | 90084-5258
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Country | US
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Telephone | 330-470-3700
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Fax | 330-470-3753
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Authorized Official
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Title or Position | OWNER
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Name | KURT J. EHLERT
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Credential | MD
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Telephone | 928-726-6335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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