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General NPI Number Information
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NPI Number | 1063410652
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Entity Type | Organization
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Legal Business Name | PLAZA HEALTHCARE INC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 1475 N GRANITE REEF ROAD
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City | SCOTTSDALE
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State | AZ
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Zip | 85257
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Country | US
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Telephone | 480-990-1904
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Fax | 480-946-6286
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Provider Business Mailing Address
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Address Line | 1475 N GRANITE REEF ROAD
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City | SCOTTSDALE
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State | AZ
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Zip | 85257
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Country | US
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Telephone | 480-990-1904
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Fax | 480-946-6286
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL R SCHWARTZ
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Credential |
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Telephone | 818-905-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NCI336
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License Number State | AZ
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