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General NPI Number Information
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NPI Number | 1740400183
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Entity Type | Organization
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Legal Business Name | CAREFREE FAMILY MEDICINE,PC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 8900 E PINNACLE PEAK RD STE D6
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3647
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Country | US
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Telephone | 480-488-0575
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Fax | 480-374-5253
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Provider Business Mailing Address
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Address Line | PO BOX 2892
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City | CAREFREE
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State | AZ
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Zip | 85377-2892
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Country | US
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Telephone | 480-488-0575
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Fax | 480-488-7496
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Authorized Official
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Title or Position | MEDICAL DOCTOR /OWNER
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Name | JUDITH A INGALLS
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Credential | MD
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Telephone | 480-488-0575
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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 | AZ23364
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License Number State | AZ
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