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General NPI Number Information
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NPI Number | 1750174868
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Entity Type | Organization
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Legal Business Name | ALTEA MEDICAL ARIZONA PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1500 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-6699
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Country | US
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Telephone | 480-784-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 RIMLAND DR STE 301
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City | BELLINGHAM
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State | WA
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Zip | 98226-8759
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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 | CEO
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Name | JODHVIR SARAI
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Credential |
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Telephone | 604-367-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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