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General NPI Number Information
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NPI Number | 1104015734
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Entity Type | Organization
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Legal Business Name | SIROUNIAN ORTHOPEDICS PC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 9250 N 3RD ST SUITE 2030
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City | PHOENIX
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State | AZ
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Zip | 85020-2437
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Country | US
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Telephone | 602-264-7273
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Fax | 602-264-7294
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Provider Business Mailing Address
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Address Line | 10645 N TATUM BLVD STE 200 PMB 621
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City | PHOENIX
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State | AZ
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Zip | 85028-3068
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Country | US
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Telephone | 602-264-7273
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Fax | 602-264-7294
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRY SIROUNIAN
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Credential | DO
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Telephone | 602-264-7273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3040
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License Number State | AZ
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