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General NPI Number Information
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NPI Number | 1740562966
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Entity Type | Organization
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Legal Business Name | PREFERRED HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 8575 E PRINCESS DR SUITE 107
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5483
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Country | US
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Telephone | 480-513-9500
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Fax | 480-513-2600
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Provider Business Mailing Address
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Address Line | 37300 DEQUINDRE RD SUITE 112
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-3591
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Country | US
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Telephone | 586-825-2313
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NDUBISI G IGWE
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Credential |
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Telephone | 480-513-9500
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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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