NPI Details | |
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NPI | 1417178724 |
Enumeration Date | 05/02/2007 |
Last Updated | 07/09/2007 |
Entity Type | Healthcare Provider |
Active | Over 10 years ago |
Authorized Information | |
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Name | DALE NORMAN DALE |
Position | COO-MS |
Phone | (602) 243-4231 |
Fax | (602) 323-5988 |
Practice Location | |
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1402 E SOUTH MOUNTAIN AVE PHOENIX AZ, 85042-7925, US |
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Phone | (602) 243-4231 |
Fax | (602) 323-5988 |
Business Location | |
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1402 E SOUTH MOUNTAIN AVE PHOENIX AZ, 85042-7925, US |
|
Phone | (602) 243-4231 |
Fax | (602) 323-5988 |
Toxanomy | |
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Taxonomy Code | 315P00000X |
License State | Arizona |
License Number | LTC0176 |
Remove 1417178724 NPI Number |
According to our database, Hacienda, Inc. NPI is 1417178724, taxonomy code is 315P00000X and license number is LTC0176, license state is located at Arizona. Hacienda, Inc. physically located at 1402 E South Mountain Ave, Phoenix AZ, 85042-7925. NPI Number 1033115704 has the healthcare provider type.
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1417178724 NPI number is provided on an as is basis without warranty of any kind. 1417178724 is maintained by the National Plan & Provider Enumeration System. The contents of Hacienda, Inc. are for informational purposes only.
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