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General NPI Number Information
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NPI Number | 1730790080
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Entity Type | Organization
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Legal Business Name | MADISON MEDICAL PARTNERS, LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 911 W LAS PALMARITAS DR
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City | PHOENIX
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State | AZ
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Zip | 85021-5546
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Country | US
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Telephone | 602-505-0667
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Fax |
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Provider Business Mailing Address
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Address Line | 911 W LAS PALMARITAS DR
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City | PHOENIX
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State | AZ
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Zip | 85021-5546
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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 | PARTNER
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Name | MATTHEW SHORES
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Credential | MD
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Telephone | 480-414-9868
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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 |
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