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General NPI Number Information
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NPI Number | 1750667515
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Entity Type | Organization
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Legal Business Name | ARIZONA WORLD
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 53 N GARDEN AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-3805
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Country | US
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Telephone | 520-458-3330
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Fax | 520-458-4085
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Provider Business Mailing Address
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Address Line | 53 N GARDEN AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-3805
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Country | US
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Telephone | 520-458-3330
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Fax | 520-458-4085
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Authorized Official
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Title or Position | OWNER
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Name | MR. JUDE AZNAR TADEO
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Credential |
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Telephone | 520-458-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1100000171
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License Number State | AZ
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