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General NPI Number Information
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NPI Number | 1225013022
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Entity Type | Individual
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Provider Name | KAREL A DELEEUW M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1441 N 12TH ST FL 3
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City | PHOENIX
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State | AZ
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Zip | 85006-2837
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Country | US
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Telephone | 602-521-5977
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Fax | 602-521-5151
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Provider Business Mailing Address
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Address Line | 34522 N SCOTTSDALE RD # 404
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1224
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Country | US
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Telephone | 480-495-3356
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2332
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | D06081
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | PT15017
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 15017
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 32072
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 32072
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License Number State | AZ
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