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General NPI Number Information
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NPI Number | 1811635642
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Entity Type | Organization
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Legal Business Name | HP & RP PLLC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 750 S IRONWOOD DR STE 102
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5047
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Country | US
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Telephone | 480-740-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 7650 S MCCLINTOCK DR STE 103
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City | TEMPE
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State | AZ
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Zip | 85284-1673
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Country | US
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Telephone | 480-740-7426
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HA LE PHAM
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Credential | PA-C
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Telephone | 480-740-7426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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