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General NPI Number Information
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NPI Number | 1497510721
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Entity Type | Organization
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Legal Business Name | LATINO CARE, LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3102 E INDIAN SCHOOL RD STE 130
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City | PHOENIX
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State | AZ
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Zip | 85016-6872
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Country | US
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Telephone | 602-353-6656
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Fax | 602-442-2065
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Provider Business Mailing Address
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Address Line | 3140 N 35TH AVE STE 7
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City | PHOENIX
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State | AZ
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Zip | 85017-5270
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | YURI HERNANDEZ
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Credential |
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Telephone | 602-353-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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