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General NPI Number Information
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NPI Number | 1174434823
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Entity Type | Organization
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Legal Business Name | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 18250 N HAYDEN RD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 480-771-2744
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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Country | US
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Telephone | 602-747-4000
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR
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Name | PARIS LABRUZZO
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Credential |
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Telephone | 408-768-3596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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