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General NPI Number Information
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NPI Number | 1730042227
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Entity Type | Organization
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Legal Business Name | SURPRISE WALK-IN CARE LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 12133 W BELL RD STE 101
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City | SURPRISE
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State | AZ
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Zip | 85378-9407
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Country | US
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Telephone | 623-244-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 12133 W BELL RD STE 101
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City | SURPRISE
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State | AZ
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Zip | 85378-9407
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Country | US
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Telephone | 623-244-8797
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MATTHEW GILBERT HARDING
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Credential | FNP-BC
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Telephone | 623-244-8797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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