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General NPI Number Information
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NPI Number | 1528242880
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Entity Type | Organization
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Legal Business Name | NORTH FAMILY MEDICINE LTD
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 7802 N 43RD AVE SUITE 5
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City | GLENDALE
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State | AZ
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Zip | 85301-8111
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Country | US
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Telephone | 623-937-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 7802 N 43RD AVE SUITE 5
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City | GLENDALE
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State | AZ
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Zip | 85301-8111
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Country | US
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Telephone | 623-937-3373
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DON EDWARD BARLOW SR.
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Credential | DO
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Telephone | 623-937-3373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2098
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License Number State | AZ
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