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General NPI Number Information
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NPI Number | 1598940751
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Entity Type | Organization
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Legal Business Name | AHWATUKEE FAMILY PHYSICIANS, P.C.
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 4950 E ELLIOT RD
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City | PHOENIX
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State | AZ
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Zip | 85044-4306
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Country | US
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Telephone | 480-893-2900
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Fax | 480-893-2911
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Provider Business Mailing Address
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Address Line | 4950 E ELLIOT RD
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City | PHOENIX
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State | AZ
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Zip | 85044-4306
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Country | US
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Telephone | 480-893-2900
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Fax | 480-893-2911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD EDWARD BORG
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Credential | M.D.
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Telephone | 480-893-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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