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General NPI Number Information
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NPI Number | 1043174139
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Entity Type | Organization
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Legal Business Name | SHEA AMBULATORY PROFESSIONALS LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2450 E GUADALUPE RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85234-5116
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Country | US
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Telephone | 623-776-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 W FRYE RD STE 120
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City | CHANDLER
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State | AZ
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Zip | 85224-4942
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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 | OWNER
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Name | RADMAN RAHIMINEJAD
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Credential | DC
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Telephone | 480-926-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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