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General NPI Number Information
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NPI Number | 1780682294
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Entity Type | Organization
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Legal Business Name | AUC INVESTOR'S GROUP LLC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 14800 W MOUNTAIN VIEW BLVD SUITE 190
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City | SURPRISE
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State | AZ
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Zip | 85374-4795
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Country | US
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Telephone | 623-889-7199
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Fax | 623-889-7198
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Provider Business Mailing Address
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Address Line | 5410 W THUNDERBIRD RD SUITE 101
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City | GLENDALE
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State | AZ
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Zip | 85306-4711
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Country | US
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Telephone | 602-530-6189
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Fax | 602-548-2292
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Authorized Official
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Title or Position | CEO
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Name | MRS. KAREN WATTS
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Credential | PAC
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Telephone | 602-530-6189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OTC3467
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License Number State | AZ
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