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NPI Verification

National Provider Identifier: 1609075662

Abundant Life Clinic

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

3800 N 7TH ST

PHOENIX, AZ 850145004

Phone: 602-340-1766

NPI Enumeration Date

July 11, 2007

NPI Number

1609075662

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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