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General NPI Number Information
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NPI Number | 1912234295
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Entity Type | Organization
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Legal Business Name | ABSHIRE INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5325 E JACOB WALTZ ST
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-9450
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Country | US
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Telephone | 480-463-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 E JACOB WALTZ ST
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-9450
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Country | US
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Telephone | 480-463-4022
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Fax | 480-302-5242
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VANCE ABSHIRE
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Credential | MD
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Telephone | 480-463-4022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32271
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License Number State | AZ
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