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General NPI Number Information
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NPI Number | 1154989374
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE HEALTHCARE HOSPITALS
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 9202 N 2ND ST
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City | PHOENIX
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State | AZ
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Zip | 85020-2458
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Country | US
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Telephone | 602-786-0110
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Fax | 480-882-5813
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Provider Business Mailing Address
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Address Line | PO BOX 845406
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City | LOS ANGELES
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State | CA
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Zip | 90084-5635
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Country | US
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Telephone | 415-371-5464
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TODD ALLEN LAPORTE
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Credential |
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Telephone | 480-882-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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