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General NPI Number Information
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NPI Number | 1790163798
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Entity Type | Organization
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Legal Business Name | MUSD
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 11285 W GRIER RD
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City | MARANA
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State | AZ
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Zip | 85653-9609
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Country | US
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Telephone | 520-682-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 11279 W GRIER RD SUITE 115 A
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City | MARANA
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State | AZ
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Zip | 85653-9609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RN
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Name | ELENA MCCABE
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Credential |
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Telephone | 520-682-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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