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General NPI Number Information
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NPI Number | 1821865171
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Entity Type | Individual
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Provider Name | ERNESTO PEREZ-RIOS MSN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 2110 W 24TH ST STE A
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City | YUMA
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State | AZ
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Zip | 85364-8878
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Country | US
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Telephone | 928-726-7106
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Fax |
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Provider Business Mailing Address
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Address Line | 3393 S SALIDA DEL SOL AVE
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City | YUMA
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State | AZ
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Zip | 85365-5936
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Country | US
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Telephone | 928-581-0575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 300195
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License Number State | AZ
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