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NPI 1033877410

NPI 1033877410 : TURIN PLASTIC SURGERY LLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1033877410
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    Entity Type          |    Organization 
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    Legal Business Name  |    TURIN PLASTIC SURGERY LLC 
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Dates
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    Enumeration Date     |    12/02/2021
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    Last Update Date     |    12/02/2021
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Provider Practice Location Address
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    Address Line         |    7301 E 2ND ST STE 202 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-5610
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    Country              |    US
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    Telephone            |    480-561-6185
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7301 E 2ND ST STE 202 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-5610
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SERGEY  TURIN 
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    Credential           |    MD
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    Telephone            |    847-309-8356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    
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    License Number State |    
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