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General NPI Number Information
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NPI Number | 1841062957
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Entity Type | Organization
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Legal Business Name | C & P HEALTHCARE GROUP LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 4208 N 125TH AVE
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-5551
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Country | US
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Telephone | 610-772-3325
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Fax |
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Provider Business Mailing Address
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Address Line | 14175 W INDIAN SCHOOL RD # SETB4195
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City | GOODYEAR
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State | AZ
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Zip | 85395-8407
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Country | US
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Telephone | 610-772-3325
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Fax |
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Authorized Official
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Title or Position | NP
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Name | CAROLYN COLLIER
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Credential | NP
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Telephone | 610-772-3325
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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 |
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License Number State |
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