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General NPI Number Information
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NPI Number | 1891981668
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ENDOCRINOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1501 W 24TH ST SUITE 202
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City | YUMA
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State | AZ
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Zip | 85364-6370
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Country | US
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Telephone | 928-344-5299
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Fax | 928-344-5343
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Provider Business Mailing Address
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Address Line | 1501 W 24TH ST SUITE 202
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City | YUMA
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State | AZ
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Zip | 85364-6370
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Country | US
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Telephone | 928-344-5299
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Fax | 928-344-5343
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | DR. MANJU S SCHORR
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Credential | M.D.
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Telephone | 928-344-5299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 31316
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License Number State | AZ
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