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General NPI Number Information
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NPI Number | 1790183564
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Entity Type | Organization
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Legal Business Name | DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 3201 W PEORIA AVE STE D805
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City | PHOENIX
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State | AZ
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Zip | 85029-4600
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Country | US
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Telephone | 602-279-2400
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Fax | 602-279-5890
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Provider Business Mailing Address
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Address Line | 727 E BETHANY HOME RD STE B112
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City | PHOENIX
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State | AZ
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Zip | 85014-2151
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Country | US
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Telephone | 602-279-2400
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Fax | 602-279-5890
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. MIRTA C DALOTTO
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Credential |
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Telephone | 602-569-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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