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General NPI Number Information
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NPI Number | 1568279792
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Entity Type | Organization
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Legal Business Name | ALANTE PRIMARY CARE W LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 8502 E PRINCESS DR STE 200E
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7802
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Country | US
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Telephone | 480-563-2402
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Fax | 844-443-4378
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Provider Business Mailing Address
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Address Line | 8502 E PRINCESS DR STE 200E
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7802
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Country | US
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Telephone | 480-563-2402
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Fax | 844-443-4378
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Authorized Official
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Title or Position | CFO
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Name | JACOB SCHAEFER
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Credential |
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Telephone | 503-201-8356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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