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General NPI Number Information
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NPI Number | 1154092013
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Entity Type | Organization
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Legal Business Name | UGLOW F & B LLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 4205 N WINFIELD SCOTT PLZ STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3936
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Country | US
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Telephone | 571-439-6730
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Fax | 703-757-6195
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Provider Business Mailing Address
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Address Line | 4205 N WINFIELD SCOTT PLZ STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3936
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Country | US
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Telephone | 571-439-6730
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Fax | 703-757-6195
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. MARTIN A. MORSE
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Credential | M.D.
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Telephone | 571-439-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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