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General NPI Number Information
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NPI Number | 1073801627
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Entity Type | Organization
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Legal Business Name | ARRHYTHMIA ASSOCIATES OF ARIZONA, PLC
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 525 N 18TH ST STE 501
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City | PHOENIX
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State | AZ
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Zip | 85006-4102
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Country | US
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Telephone | 602-252-2559
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Fax | 602-252-2558
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Provider Business Mailing Address
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Address Line | 1155 NORTHRIDGE DRIVE
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City | PRESCOTT
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State | AZ
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Zip | 86301
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Country | US
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Telephone | 602-677-2172
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. NISHA TUNG-TAKHER
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Credential | M.D.
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Telephone | 602-677-2172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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