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General NPI Number Information
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NPI Number | 1609823129
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Entity Type | Organization
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Legal Business Name | ACCLAIMED INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 3411 E LARK DR
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City | CHANDLER
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State | AZ
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Zip | 85249-5652
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Country | US
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Telephone | 877-347-1557
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2240
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City | GILBERT
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State | AZ
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Zip | 85299-2240
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Country | US
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Telephone | 877-347-1557
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ADAM K HOREISH
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Credential | MD
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Telephone | 877-347-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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