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General NPI Number Information
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NPI Number | 1962796219
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Entity Type | Organization
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Legal Business Name | CATHEDRAL HEALTH SERVICES
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 6390 E THOMAS RD SUITE 218
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7051
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Country | US
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Telephone | 602-254-7130
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Fax | 602-445-6343
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Provider Business Mailing Address
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Address Line | PO BOX 16252
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City | PHOENIX
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State | AZ
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Zip | 85011-6252
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Country | US
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Telephone | 602-254-7130
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Fax | 602-445-6343
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. JOHN L. MATHER
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Credential |
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Telephone | 602-254-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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