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General NPI Number Information
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NPI Number | 1558884866
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Entity Type | Organization
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Legal Business Name | AFFILIATED PRO MONITORING, LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 6424 E BROADWAY RD STE 120
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City | MESA
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State | AZ
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Zip | 85206-1750
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Country | US
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Telephone | 480-527-1586
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Fax | 480-452-1464
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Provider Business Mailing Address
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Address Line | 3317 S HIGLEY RD STE 114
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City | GILBERT
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State | AZ
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Zip | 85297-5437
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Country | US
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Telephone | 480-527-1586
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Fax | 480-450-1464
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Authorized Official
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Title or Position | MANAGER
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Name | JEROD BOWEN
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Credential |
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Telephone | 602-481-7369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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