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General NPI Number Information
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NPI Number | 1164185518
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Entity Type | Organization
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Legal Business Name | GJALLARHORN ANESTHESIA, LLC
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 9140 W THOMAS RD STE B-106
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City | PHOENIX
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State | AZ
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Zip | 85037-3378
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Country | US
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Telephone | 303-406-1376
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Fax |
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Provider Business Mailing Address
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Address Line | 15019 N 48TH WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2244
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH MORRIS
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Credential | DO
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Telephone | 303-406-1376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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