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General NPI Number Information
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NPI Number | 1023327251
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Entity Type | Individual
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Provider Name | PERRY A. BRAZEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3815 E BELL RD STE 2100
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City | PHOENIX
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State | AZ
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Zip | 85032-2134
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Country | US
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Telephone | 602-726-8805
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Fax | 602-944-4147
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Provider Business Mailing Address
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Address Line | 3815 E BELL RD STE 2100
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City | PHOENIX
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State | AZ
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Zip | 85032-2134
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Country | US
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Telephone | 602-726-8805
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Fax | 602-944-4147
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 4744
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License Number State | AZ
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