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General NPI Number Information
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NPI Number | 1033106281
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Entity Type | Individual
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Provider Name | TERRY R MAFFI I M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 5410 N SCOTTSDALE RD SUITE E200
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5927
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Country | US
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Telephone | 480-505-6430
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Fax | 480-505-6429
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Provider Business Mailing Address
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Address Line | 5410 N SCOTTSDALE RD SUITE E200
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5927
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Country | US
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Telephone | 480-505-6430
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Fax | 480-505-6429
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 32805
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 32805
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License Number State | AZ
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