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General NPI Number Information
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NPI Number | 1649404153
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Entity Type | Organization
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Legal Business Name | PACIFIC FAMILY MEDICINE, INC.
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2360 W RAY RD STE 2
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City | CHANDLER
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State | AZ
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Zip | 85224-3634
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Country | US
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Telephone | 480-855-3770
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Fax | 480-855-7906
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Provider Business Mailing Address
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Address Line | PO BOX 6218
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City | CHANDLER
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State | AZ
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Zip | 85246-6218
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Country | US
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Telephone | 480-855-3770
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Fax | 480-855-7906
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATIVIDAD VERDEJO
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Credential | MD
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Telephone | 480-855-3770
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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 |
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License Number State |
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