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General NPI Number Information
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NPI Number | 1609479898
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Entity Type | Organization
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Legal Business Name | VERDE COMMUNITY HEALTHCARE LLC
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 218 JUSTIN DR
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4180
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Country | US
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Telephone | 928-634-6369
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Fax | 928-649-0228
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Provider Business Mailing Address
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Address Line | 657 E COTTONWOOD ST STE 10
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4407
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Country | US
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Telephone | 928-634-6369
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Fax | 928-649-0228
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Authorized Official
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Title or Position | COO
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Name | ANUPAM AHLAWAT
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Credential |
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Telephone | 480-294-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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