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General NPI Number Information
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NPI Number | 1073626404
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Entity Type | Organization
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Legal Business Name | CIGNA HEALTHCARE OF ARIZONA, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 8888 E RAINTREE DR STE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3968
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Country | US
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Telephone | 602-328-8400
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Fax | 623-877-1091
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Provider Business Mailing Address
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Address Line | 8888 E RAINTREE DR STE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3968
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Country | US
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Telephone | 602-328-8400
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Fax | 623-877-1091
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Authorized Official
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Title or Position | SENIOR MEDICAL DIRECTOR
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Name | POOJA BHARDWAJA
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Credential | MD, MBA, FACP
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Telephone | 602-328-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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