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General NPI Number Information
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NPI Number | 1871745752
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Entity Type | Organization
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Legal Business Name | AKDHC - FOUNTAIN HILLS FAMILY PRACTICE
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 16838 E PALISADES BLVD, BLDG C, STE 153 AKDHC LLC
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-0000
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Country | US
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Telephone | 480-816-3131
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Fax | 480-816-3136
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Provider Business Mailing Address
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Address Line | 3333 E CAMELBACK RD STE 180
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City | PHOENIX
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State | AZ
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Zip | 85018-2396
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Country | US
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Telephone | 602-759-6883
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Fax | 602-224-3358
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICIAN SERVICES
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Name | KRISTEN KLEIN
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Credential |
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Telephone | 602-997-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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