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General NPI Number Information
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NPI Number | 1710130117
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Entity Type | Organization
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Legal Business Name | TRI-CITY FAMILY PHYSICIANS, P.C.
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 1343 N. ALMA SCHOOL RD STE 205
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City | CHANDLER
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State | AZ
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Zip | 85224
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Country | US
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Telephone | 480-963-1853
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Fax | 480-963-1854
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Provider Business Mailing Address
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Address Line | 1343 N ALMA SCHOOL RD STE 160
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City | CHANDLER
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State | AZ
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Zip | 85224-5941
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Country | US
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Telephone | 480-963-1853
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Fax | 480-726-0695
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Authorized Official
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Title or Position | BUSINESS OFFICE ADMINISTRATOR
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Name | DEBORAH GRACE
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Credential |
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Telephone | 480-776-5489
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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 | 1977
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License Number State | AZ
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