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NPI 1770767022

NPI 1770767022 : YAVAPAI ORTHOPAEDICS, PLLC : PRESCOTT, AZ

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General NPI Number Information
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    NPI Number           |    1770767022
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    Entity Type          |    Organization 
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    Legal Business Name  |    YAVAPAI ORTHOPAEDICS, PLLC 
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Dates
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    Enumeration Date     |    12/21/2007
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    Last Update Date     |    07/09/2014
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Provider Practice Location Address
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    Address Line         |    1050 GAIL GARDNER WAY STE 100 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86305-1631
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    Country              |    US
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    Telephone            |    928-443-9753
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    Fax                  |    928-443-9754
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Provider Business Mailing Address
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    Address Line         |    1050 GAIL GARDNER WAY STE 100 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86305-1631
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    Country              |    US
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    Telephone            |    928-443-9753
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    Fax                  |    928-443-9754
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Authorized Official
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    Title or Position    |    ORTHOPAEDIC SURGEON
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    Name                 |    DR. FRANCISCO  JAUME 
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    Credential           |    D.O.
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    Telephone            |    928-443-9753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    4007
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    License Number State |    AZ
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