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General NPI Number Information
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NPI Number | 1164971164
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Entity Type | Organization
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Legal Business Name | PAION INSTITUTE LLC
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Dates
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Enumeration Date | 10/02/2016
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Last Update Date | 10/02/2016
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Provider Practice Location Address
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Address Line | 7150 E CAMELBACK RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1200
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Country | US
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Telephone | 425-351-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 HOWARD HUGHES PKWY SUITE 500
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City | LAS VEGAS
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State | NV
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Zip | 89169-5972
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Country | US
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Telephone | 425-351-5665
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL FITCH
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Credential |
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Telephone | 425-351-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | NV20151115320
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License Number State | NV
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