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General NPI Number Information
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NPI Number | 1154352508
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Entity Type | Individual
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Provider Name | MOSHE DAVID ENGEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 301 E BETHANY HOME RD SUITE A233
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City | PHOENIX
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State | AZ
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Zip | 85012-1263
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Country | US
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Telephone | 602-717-9448
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 S HOLT AVE APT. 205
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City | LOS ANGELES
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State | CA
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Zip | 90035-2021
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Country | US
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Telephone | 602-717-9448
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00033855
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 23102
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License Number State | AZ
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