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General NPI Number Information
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NPI Number | 1891208997
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Entity Type | Organization
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Legal Business Name | REAL FAMILY CARE, PLLC
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 2601 N 3RD ST STE 301
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City | PHOENIX
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State | AZ
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Zip | 85004-1101
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Country | US
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Telephone | 602-793-7131
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Fax | 623-377-9901
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Provider Business Mailing Address
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Address Line | 2738 N GREENFIELD RD
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City | PHOENIX
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State | AZ
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Zip | 85006-1312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NIKLAUS HIRSCHI
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Credential | NP-C
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Telephone | 602-793-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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