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General NPI Number Information
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NPI Number | 1518063742
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Entity Type | Organization
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Legal Business Name | VALLEY OF THE SUN MEDICAL CARE PC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 9917 E BELL RD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2398
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Country | US
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Telephone | 480-473-8866
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Fax | 480-473-8875
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Provider Business Mailing Address
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Address Line | 9917 E BELL RD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2398
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Country | US
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Telephone | 480-473-8866
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Fax | 480-473-8875
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DORA E WHITE
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Credential | MD
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Telephone | 480-473-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10194
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License Number State | AZ
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