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General NPI Number Information
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NPI Number | 1013494327
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Entity Type | Organization
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Legal Business Name | JOSEPH MAZZEI PLLC
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 4322 S GARDENIA DR
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City | CHANDLER
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State | AZ
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Zip | 85248-0089
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Country | US
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Telephone | 312-608-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 4322 S GARDENIA DR
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City | CHANDLER
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State | AZ
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Zip | 85248-0089
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Country | US
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Telephone | 312-608-4086
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH MAZZEI
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Credential | DO
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Telephone | 312-608-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 007596
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License Number State | AZ
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