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General NPI Number Information
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NPI Number | 1730171539
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Entity Type | Organization
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Legal Business Name | PHYSICIAN BUSINESS SERVICES LLC
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1040 WHIPPLE ST SUITE 209
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City | PRESCOTT
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State | AZ
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Zip | 86305-1613
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Country | US
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Telephone | 928-776-6400
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Fax | 928-772-6410
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Provider Business Mailing Address
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Address Line | 1040 WHIPPLE ST SUITE 209
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City | PRESCOTT
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State | AZ
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Zip | 86305-1613
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Country | US
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Telephone | 928-776-6400
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Fax | 928-772-6410
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DIETER W KRANTZ
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Credential |
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Telephone | 928-772-2591
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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 |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | AZ
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