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General NPI Number Information
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NPI Number | 1609934447
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Entity Type | Individual
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Provider Name | MICHAEL LEE DUBETS D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8501 N 51ST AVE
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City | GLENDALE
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State | AZ
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Zip | 85302-4919
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Country | US
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Telephone | 623-939-1439
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Fax | 623-939-1073
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Provider Business Mailing Address
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Address Line | PO BOX 4827
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City | CAVE CREEK
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State | AZ
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Zip | 85327-4827
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Country | US
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Telephone | 602-320-2015
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Fax | 623-939-1073
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2589
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License Number State | AZ
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