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General NPI Number Information
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NPI Number | 1073585402
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Entity Type | Individual
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Provider Name | BRENT DREW SLOTEN DO
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4550 E BELL RD BLDG 5
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City | PHOENIX
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State | AZ
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Zip | 85032-9390
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Country | US
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Telephone | 480-666-5568
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Fax | 702-297-6238
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Provider Business Mailing Address
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Address Line | 4613 E DESERT PARK PL
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-2952
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Country | US
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Telephone | 602-909-1237
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3368
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License Number State | AZ
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