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General NPI Number Information
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NPI Number | 1043523608
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Entity Type | Organization
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Legal Business Name | HOLDEN FACIAL PLASTIC SURGERY A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 9522 E SAN SALVADOR DR SUITE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5557
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Country | US
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Telephone | 602-457-5700
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Fax | 602-457-5708
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Provider Business Mailing Address
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Address Line | 9522 E SAN SALVADOR DR SUITE 301
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5557
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Country | US
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Telephone | 602-457-5700
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Fax | 602-457-5708
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL KENNETH HOLDEN
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Credential | M.D.
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Telephone | 602-457-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 43170
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License Number State | AZ
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