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NPI 1184248064

NPI 1184248064 : ARROWHEAD NORTH SURGERY CENTER : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1184248064
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARROWHEAD NORTH SURGERY CENTER 
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Dates
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    Enumeration Date     |    06/05/2020
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    13660 N 94TH DR STE F1 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85381-4232
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    Country              |    US
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    Telephone            |    480-245-6211
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    Fax                  |    480-245-6159
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Provider Business Mailing Address
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    Address Line         |    13660 N 94TH DR STE F1 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85381-4232
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    Country              |    US
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    Telephone            |    480-245-6211
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    Fax                  |    480-245-6159
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Authorized Official
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    Title or Position    |    CBO
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    Name                 |     THOMAS M MOSHIRI 
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    Credential           |    
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    Telephone            |    480-245-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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