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General NPI Number Information
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NPI Number | 1154324903
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Entity Type | Individual
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Provider Name | JAMES C. FERRARO D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 6622 N 91ST AVE STE 200
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City | GLENDALE
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State | AZ
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Zip | 85305-2569
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Country | US
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Telephone | 623-547-4668
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Fax | 623-535-7869
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Provider Business Mailing Address
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Address Line | 6622 N 91ST AVE STE 220
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City | GLENDALE
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State | AZ
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Zip | 85305-2569
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Country | US
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Telephone | 602-759-6883
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Fax | 602-224-3358
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2854
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License Number State | AZ
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