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General NPI Number Information
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NPI Number | 1770212946
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Entity Type | Organization
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Legal Business Name | TOONE FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 06/05/2022
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Last Update Date | 06/05/2022
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Provider Practice Location Address
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Address Line | 13760 N 93RD AVE STE 111
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City | PEORIA
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State | AZ
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Zip | 85381-4250
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Country | US
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Telephone | 623-203-7103
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Fax |
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Provider Business Mailing Address
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Address Line | 9051 W IONA WAY
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City | PEORIA
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State | AZ
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Zip | 85383-3743
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Country | US
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Telephone | 623-203-7103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY LEE TOONE
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Credential | FNP
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Telephone | 623-203-7103
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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 |
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