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General NPI Number Information
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NPI Number | 1679756274
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Entity Type | Organization
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Legal Business Name | DANIELA ENGLISH DO LLC
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 4621 E CHANDLER BLVD #110
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City | PHOENIX
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State | AZ
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Zip | 85048-0426
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Country | US
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Telephone | 480-961-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 4621 E CHANDLER BLVD #110
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City | PHOENIX
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State | AZ
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Zip | 85048-0426
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELA P ENGLISH
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Credential | DO LLC
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Telephone | 480-961-0760
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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 | 3478
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License Number State | AZ
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