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General NPI Number Information
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NPI Number | 1609311109
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Entity Type | Organization
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Legal Business Name | ARIZONA KIDS PEDIATRICS LTD
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 14823 W BELL RD STE 208
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City | SURPRISE
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State | AZ
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Zip | 85374-7613
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Country | US
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Telephone | 623-225-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 14823 W BELL RD STE 208
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City | SURPRISE
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State | AZ
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Zip | 85374-7613
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Country | US
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Telephone | 623-225-7030
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Fax |
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Authorized Official
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Title or Position | OWNER.PEDIATRICIAN
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Name | BETH A. HOFF
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Credential | D.O.
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Telephone | 602-403-1613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4394
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License Number State | AZ
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