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General NPI Number Information
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NPI Number | 1033310669
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Entity Type | Organization
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Legal Business Name | JOSEPH M SCOGGIN MD PLLC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 2905 W WARNER RD STE 19
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City | CHANDLER
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State | AZ
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Zip | 85224-1674
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Country | US
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Telephone | 480-219-1965
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Fax | 480-248-7772
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Provider Business Mailing Address
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Address Line | 2905 W WARNER RD STE 19
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City | CHANDLER
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State | AZ
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Zip | 85224-1674
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Country | US
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Telephone | 480-219-1965
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Fax | 480-248-7772
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BRENDA BLAU
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Credential |
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Telephone | 480-343-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 30290
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License Number State | AZ
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