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General NPI Number Information
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NPI Number | 1952395444
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Entity Type | Organization
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Legal Business Name | ARIZONA FAMILY CARE PLLC
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 18555 N 79TH AVE B-108
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 623-773-2848
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Fax | 623-773-0370
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Provider Business Mailing Address
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Address Line | PO BOX 11447
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City | GLENDALE
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State | AZ
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Zip | 85318-1447
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Country | US
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Telephone | 623-773-2848
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Fax | 623-773-0370
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. NORMA ANAYA
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Credential |
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Telephone | 623-773-2848
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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 |
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License Number State |
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