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General NPI Number Information
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NPI Number | 1821370974
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Entity Type | Organization
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Legal Business Name | AFFORDABLE FAMILY PRACTICE, INC.
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 16601 N 40TH ST STE 227
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City | PHOENIX
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State | AZ
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Zip | 85032-3354
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Country | US
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Telephone | 480-596-6503
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Fax | 602-283-5286
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Provider Business Mailing Address
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Address Line | 16601 N 40TH ST STE 227
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City | PHOENIX
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State | AZ
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Zip | 85032-3354
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Country | US
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Telephone | 480-596-6503
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Fax | 602-283-5286
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Authorized Official
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Title or Position | PRESIDENT
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Name | AL MEHDI
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Credential |
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Telephone | 631-513-5140
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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 | AP 2759
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License Number State | AZ
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