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General NPI Number Information
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NPI Number | 1750889820
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Entity Type | Organization
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Legal Business Name | ORO VALLEY HOSPITAL LLC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 6350 W MARANA CENTER BLVD
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City | TUCSON
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State | AZ
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Zip | 85742
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Country | US
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Telephone | 520-579-6040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 849870
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City | DALLAS
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State | TX
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Zip | 75284-9870
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Country | US
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Telephone | 520-579-6040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | H3683
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License Number State | AZ
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