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General NPI Number Information
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NPI Number | 1003848904
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Entity Type | Individual
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Provider Name | VIBHOOTI HARSHAVARDHAN DAVE D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 9735 N. 90TH PLACE SUITE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5068
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Country | US
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Telephone | 602-953-9500
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Fax | 602-953-1782
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Provider Business Mailing Address
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Address Line | 9735 N. 90TH PLACE SUITE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5068
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Country | US
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Telephone | 602-953-9500
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Fax | 602-953-1782
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS9551
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 005629
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License Number State | AZ
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