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General NPI Number Information
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NPI Number | 1508630781
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Entity Type | Organization
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Legal Business Name | INFINITE HEALTH CARE PLLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 3955 E MAPLEWOOD ST
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City | GILBERT
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State | AZ
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Zip | 85297-3562
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Country | US
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Telephone | 480-915-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 3955 E MAPLEWOOD ST
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City | GILBERT
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State | AZ
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Zip | 85297-3562
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Country | US
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Telephone | 480-915-2455
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | LOREN CAROLINE MACDONALD
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Credential | NP
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Telephone | 480-915-2455
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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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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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