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General NPI Number Information
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NPI Number | 1962896167
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Entity Type | Organization
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Legal Business Name | COBRE VALLEY REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 5994 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9462
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Country | US
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Telephone | 928-425-7108
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Fax | 928-425-7925
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Provider Business Mailing Address
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Address Line | 5880 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9447
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Country | US
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Telephone | 928-425-3261
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Fax | 928-425-3859
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Authorized Official
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Title or Position | CEO
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Name | FRANK D STAPLETON
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Credential |
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Telephone | 928-402-1131
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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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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | RGH0126
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License Number State | AZ
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