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General NPI Number Information
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NPI Number | 1992586283
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Entity Type | Organization
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Legal Business Name | DR S ORDERS
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 6750 W OLIVE AVE STE 104
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City | PEORIA
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State | AZ
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Zip | 85345-8886
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Country | US
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Telephone | 160-241-3274
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 W OLIVE AVE STE 104
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City | PEORIA
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State | AZ
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Zip | 85345-8886
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Country | US
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Telephone | 602-413-2742
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Fax |
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Authorized Official
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Title or Position | RN
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Name | COLLETTE ECHOLS
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Credential |
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Telephone | 602-413-2742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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