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General NPI Number Information
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NPI Number | 1114730116
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Entity Type | Organization
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Legal Business Name | ARIZONA BRAIN AND SPINE
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 2415 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7356
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Country | US
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Telephone | 630-841-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 W CAMINO DE URANIA
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City | TUCSON
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State | AZ
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Zip | 85741-1146
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Country | US
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Telephone | 630-841-5709
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SAGI HASSAN ELHASSAN
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Credential | MD
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Telephone | 630-841-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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