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General NPI Number Information
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NPI Number | 1063867141
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Entity Type | Individual
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Provider Name | RONALD F MATTHIAS JR. ND
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Gender | Male
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 15170 N HAYDEN RD SUITE 6B
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2571
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Country | US
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Telephone | 480-779-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 E PRINCESS DR UNIT 2163
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5806
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Country | US
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Telephone | 919-628-0077
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 16-1532
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License Number State | AZ
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