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General NPI Number Information
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NPI Number | 1558284422
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Entity Type | Organization
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Legal Business Name | 3GPKIDS LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 24 W CAMELBACK RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85013
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Country | US
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Telephone | 623-377-2747
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Fax |
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Provider Business Mailing Address
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Address Line | 24 W CAMELBACK RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85013-2529
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Country | US
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Telephone | 623-377-2747
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | CARLOS RIVERA
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Credential | APRN
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Telephone | 623-377-2747
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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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