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General NPI Number Information
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NPI Number | 1629182746
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Entity Type | Organization
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Legal Business Name | ACCREDITED FAMILY HEALTHCARE, P.C.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 725 W ELLIOT RD BLDG. 3; SUITE 105
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City | GILBERT
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State | AZ
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Zip | 85233-5301
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Country | US
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Telephone | 480-963-6144
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Fax | 480-899-1404
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Provider Business Mailing Address
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Address Line | 725 W ELLIOT RD BLDG. 3; SUITE 105
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City | GILBERT
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State | AZ
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Zip | 85233-5301
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Country | US
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Telephone | 480-963-6144
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Fax | 480-899-1404
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. CYNTHIA DARLENE BARRY
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Credential | D.O.
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Telephone | 480-963-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 2752
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License Number State | AZ
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