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General NPI Number Information
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NPI Number | 1114392800
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Entity Type | Individual
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Provider Name | JOHN DORSEY PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-402-8309
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Fax |
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Provider Business Mailing Address
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Address Line | 8761 E BELL RD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1316
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Country | US
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Telephone | 602-402-8309
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6237
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License Number State | AZ
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