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General NPI Number Information
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NPI Number | 1215129994
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Entity Type | Organization
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Legal Business Name | TORY L MCJUNKIN MD PLLC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 9787 N 91ST ST SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5088
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Country | US
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Telephone | 480-563-6400
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Fax | 480-563-8009
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Provider Business Mailing Address
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Address Line | 9787 N 91ST ST SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5088
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Country | US
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Telephone | 480-563-6400
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Fax | 480-563-8009
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Authorized Official
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Title or Position | PHYSICIANOWNER
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Name | DR. TORY LANCE MCJUNKIN
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Credential | MD
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Telephone | 480-563-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 35497
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License Number State | AZ
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