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General NPI Number Information
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NPI Number | 1558439711
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Entity Type | Organization
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Legal Business Name | PASEO FAMILY PHYSICIANS LTD
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 18275 N 59TH AVE SUITE K 162
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City | GLENDALE
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State | AZ
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Zip | 85308-1260
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Country | US
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Telephone | 602-547-8184
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Fax | 602-547-8339
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Provider Business Mailing Address
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Address Line | 18275 N 59TH AVE SUITE K 162
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City | GLENDALE
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State | AZ
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Zip | 85308-1260
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Country | US
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Telephone | 602-547-8184
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Fax | 602-547-8339
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. BARB ROBINS
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Credential |
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Telephone | 602-547-8184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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