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General NPI Number Information
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NPI Number | 1093571358
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Entity Type | Organization
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Legal Business Name | MEDCALL MEDICAL
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1255 W BASELINE RD STE B-260
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City | MESA
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State | AZ
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Zip | 85202-5820
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Country | US
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Telephone | 602-858-6298
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 W BASELINE RD STE B-260
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City | MESA
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State | AZ
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Zip | 85202-5820
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Country | US
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Telephone | 602-858-6298
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANE SPEIRS
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Credential | MD
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Telephone | 480-495-5485
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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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