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General NPI Number Information
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NPI Number | 1558731679
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Entity Type | Organization
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Legal Business Name | SOUTHERN ARIZONA TESTING SERVICE
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 8742 E PATTERSON DR
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City | TUCSON
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State | AZ
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Zip | 85710-2656
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Country | US
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Telephone | 520-272-7070
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Fax | 520-751-1390
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Provider Business Mailing Address
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Address Line | 8742 E PATTERSON DR
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City | TUCSON
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State | AZ
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Zip | 85710-2656
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Country | US
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Telephone | 520-272-7070
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Fax | 520-751-1390
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Authorized Official
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Title or Position | OWNER
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Name | ANNA M DESIMONE
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Credential | FNP
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Telephone | 520-272-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP1837
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License Number State | AZ
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