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General NPI Number Information
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NPI Number | 1760701700
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Entity Type | Organization
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Legal Business Name | MHPV HOLDINGS PLC
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 6721 N 62ND ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-4309
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Country | US
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Telephone | 480-948-0102
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Fax | 480-948-0964
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Provider Business Mailing Address
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Address Line | 6721 N 62ND ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-4309
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Country | US
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Telephone | 480-948-0102
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Fax | 480-948-0964
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN J. LIPSKY
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Credential | MD
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Telephone | 480-948-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 8861
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License Number State | AZ
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