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General NPI Number Information
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NPI Number | 1770629818
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Entity Type | Organization
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Legal Business Name | LA PAZ FAMILY CARE
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1701 W. ST. MARYS RD #125
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City | TUCSON
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State | AZ
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Zip | 85745
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Country | US
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Telephone | 520-884-4771
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Fax | 520-884-4874
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Provider Business Mailing Address
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Address Line | 4945 S. JOSEPH AVE
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City | TUCSON
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State | AZ
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Zip | 85757
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Country | US
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Telephone | 520-884-4771
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Fax | 520-884-4874
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DELMA B HUGGINS
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Credential |
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Telephone | 520-884-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN026569
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN026569
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License Number State | AZ
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