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NPI 1740326727

NPI 1740326727 : COUNTY OF MOHAVE : KINGMAN, AZ

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General NPI Number Information
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    NPI Number           |    1740326727
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF MOHAVE 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    700 W BEALE ST 
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    City                 |    KINGMAN
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    State                |    AZ
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    Zip                  |    86401-5711
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    Country              |    US
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    Telephone            |    928-753-0714
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    Fax                  |    928-753-0775
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Provider Business Mailing Address
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    Address Line         |    700 W BEALE ST 
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    City                 |    KINGMAN
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    State                |    AZ
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    Zip                  |    86401-5711
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    Country              |    US
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    Telephone            |    928-753-0741
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    Fax                  |    928-753-0775
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Authorized Official
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    Title or Position    |    HEALTH DIRECTOR
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    Name                 |    MRS. MELISSA  PALMER 
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    Credential           |    M.ADM, BS, MCHES
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    Telephone            |    928-753-0748
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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       |    OTC3853
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    License Number State |    AZ
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