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General NPI Number Information
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NPI Number | 1871584698
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD FAMILY PRACTICE PC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6360 E THOMAS RD STE 218
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7054
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Country | US
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Telephone | 480-949-7340
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Fax | 480-949-7344
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Provider Business Mailing Address
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Address Line | 6360 E THOMAS RD STE 218
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7054
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Country | US
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Telephone | 480-949-7340
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Fax | 480-949-7344
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBRA L BERGSTROM
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Credential | NP
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Telephone | 480-949-7340
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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