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General NPI Number Information
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NPI Number | 1730024886
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Entity Type | Individual
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Provider Name | PRECIOUS KORTU
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Gender | Female
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 41550 ECLECTIC ST
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City | PALM DESERT
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State | CA
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Zip | 92260-1967
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Country | US
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Telephone | 760-299-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 S PRIEST DR
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City | TEMPE
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State | AZ
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Zip | 85283-1568
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Country | US
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Telephone | 347-223-6176
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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