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General NPI Number Information
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NPI Number | 1528659455
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Entity Type | Organization
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Legal Business Name | ARIZONA MEDICAL PROVIDERS PLLC
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5099 W DOBBINS RD UNIT B
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City | LAVEEN
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State | AZ
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Zip | 85339-9733
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Country | US
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Telephone | 602-688-2338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1044
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City | LAVEEN
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State | AZ
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Zip | 85339-0770
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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 | OWNER
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Name | NORBERT MWANGI
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Credential |
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Telephone | 602-688-2338
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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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