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NPI 1801304910

NPI 1801304910 : BIO FAMILY CLINIC INC : YUMA, AZ

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General NPI Number Information
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    NPI Number           |    1801304910
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIO FAMILY CLINIC INC 
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Dates
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    Enumeration Date     |    01/11/2018
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    Last Update Date     |    06/23/2023
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Provider Practice Location Address
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    Address Line         |    2503 S AVENUE A STE 2 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85364-7174
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    Country              |    US
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    Telephone            |    928-247-6516
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 669 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85366-2329
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    Country              |    US
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    Telephone            |    928-247-6516
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF STAFFING
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    Name                 |     TERRI C ENGLE 
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    Credential           |    
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    Telephone            |    928-247-6516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QP1100X
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    Taxonomy Name        |    Podiatric Clinic/Center
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    License Number       |    0793
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    License Number State |    AZ
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Taxonomy #7
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    0793
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    License Number State |    AZ
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