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General NPI Number Information
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NPI Number | 1609289438
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Entity Type | Organization
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Legal Business Name | DESERT CARE ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 2140 W 24TH ST SUITE A
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City | YUMA
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State | AZ
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Zip | 85364-8877
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Country | US
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Telephone | 928-259-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 2140 W 24TH ST SUITE A
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City | YUMA
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State | AZ
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Zip | 85364-8877
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Country | US
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Telephone | 928-259-7565
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | KATHY WYER
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Credential | NP-C
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Telephone | 928-259-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3257
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License Number State | AZ
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