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General NPI Number Information
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NPI Number | 1043630221
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Entity Type | Organization
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Legal Business Name | ARIA SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 11784 N 131ST ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-3604
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Country | US
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Telephone | 480-406-7666
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Fax | 480-985-0468
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Provider Business Mailing Address
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Address Line | PO BOX 20610
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City | MESA
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State | AZ
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Zip | 85277-0610
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Country | US
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Telephone | 480-985-1093
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Fax | 480-296-7643
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Authorized Official
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Title or Position | MEMBER
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Name | TANJA LEA GUNSBERGER
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Credential | DO
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Telephone | 480-406-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4668
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License Number State | AZ
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