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NPI 1922204155

NPI 1922204155 : WESTVIEW FAMILY MEDICINE, P.C. : AVONDALE, AZ

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General NPI Number Information
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    NPI Number           |    1922204155
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTVIEW FAMILY MEDICINE, P.C. 
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Dates
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    Enumeration Date     |    06/25/2007
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    Last Update Date     |    02/10/2011
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Provider Practice Location Address
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    Address Line         |    13065 W MCDOWELL RD A-105
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    City                 |    AVONDALE
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    State                |    AZ
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    Zip                  |    85323-6439
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    Country              |    US
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    Telephone            |    623-536-6788
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    Fax                  |    623-536-9288
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 7310 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85011-7310
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    Country              |    US
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    Telephone            |    623-536-6788
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    Fax                  |    623-536-9288
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     SALLY JO ANN GARCIA 
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    Credential           |    
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    Telephone            |    623-536-6788
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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       |    23025
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    License Number State |    AZ
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