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NPI 1174070023

NPI 1174070023 : CARA N MAXSON ND : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1174070023
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    Entity Type          |    Individual 
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    Provider Name        |    CARA N MAXSON ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/08/2016
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    Last Update Date     |    09/08/2016
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Provider Practice Location Address
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    Address Line         |    9312 E RAINTREE DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-2094
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    Country              |    US
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    Telephone            |    480-614-5820
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    Fax                  |    480-767-2745
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Provider Business Mailing Address
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    Address Line         |    9312 E RAINTREE DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-2094
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    Country              |    US
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    Telephone            |    480-614-5820
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    Fax                  |    480-767-2745
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    15-1488
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    License Number State |    AZ
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