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General NPI Number Information
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NPI Number | 1083272082
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Entity Type | Organization
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Legal Business Name | THERAZONA WOMENS HEALTH, LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 13802 N SCOTTSDALE RD STE 162
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3437
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Country | US
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Telephone | 480-699-8473
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Fax | 480-219-8237
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Provider Business Mailing Address
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Address Line | 861 N HIGLEY RD STE B-115
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City | GILBERT
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State | AZ
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Zip | 85234-9602
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Country | US
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Telephone | 480-699-8473
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Fax | 480-219-8237
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. SEAN OTOOLE FLANNAGAN
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Credential | DPT
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Telephone | 602-821-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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