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General NPI Number Information
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NPI Number | 1184730806
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Entity Type | Individual
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Provider Name | MATTHEW FAIMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 914 N SCOTTSDALE RD STE 104
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City | TEMPE
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State | AZ
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Zip | 85288-2116
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Country | US
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Telephone | 480-924-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 442 W GLENGARY CIR
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-3625
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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 |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35081211F
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42691
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License Number State | OK
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