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NPI 1649854068

NPI 1649854068 : HYDRATION THERAPY & WEIGHT LOSS CENTER PLLC : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1649854068
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    Entity Type          |    Organization 
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    Legal Business Name  |    HYDRATION THERAPY & WEIGHT LOSS CENTER PLLC 
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Dates
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    Enumeration Date     |    05/11/2021
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    Last Update Date     |    03/16/2023
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Provider Practice Location Address
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    Address Line         |    2982 E FORT LOWELL RD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85716-1571
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    Country              |    US
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    Telephone            |    520-327-2223
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    Fax                  |    833-346-0414
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Provider Business Mailing Address
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    Address Line         |    2982 E FORT LOWELL RD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85716-1571
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    Country              |    US
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    Telephone            |    520-327-2223
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    Fax                  |    833-346-0414
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Authorized Official
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    Title or Position    |    FAMILY NURSE PRACTITIONER
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    Name                 |     CLAUDIA A SANCHEZ 
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    Credential           |    FNP
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    Telephone            |    520-327-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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