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General NPI Number Information
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NPI Number | 1558396531
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Entity Type | Organization
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Legal Business Name | WILL JEFFERS D.O., P.C.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8631 W UNION HILLS DR 206
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City | PEORIA
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State | AZ
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Zip | 85382-5180
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Country | US
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Telephone | 623-875-7900
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Fax | 623-875-7919
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Provider Business Mailing Address
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Address Line | 9340 W PONTIAC DR
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City | PEORIA
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State | AZ
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Zip | 85382-5180
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Country | US
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Telephone | 623-825-6437
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Fax | 623-476-5582
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. WILL VAHID JEFFERS
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Credential | D.O.
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Telephone | 623-875-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | PENDING
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License Number State | AZ
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