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General NPI Number Information
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NPI Number | 1649524968
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Entity Type | Organization
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Legal Business Name | THEMA MANAGEMENT COMPANY
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 2123 SUNSET PT SUITE B3
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City | MIAMI
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State | AZ
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Zip | 85539-1347
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Country | US
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Telephone | 928-425-8330
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Fax | 928-425-8335
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Provider Business Mailing Address
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Address Line | 7500 N DREAMY DRAW DR SUITE 105A
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City | PHOENIX
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State | AZ
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Zip | 85020-4660
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Country | US
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Telephone | 602-889-4400
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Fax | 602-216-6112
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Authorized Official
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Title or Position | CEO
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Name | THERESA LUNGWITZ
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Credential | RN
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Telephone | 602-889-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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