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General NPI Number Information
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NPI Number | 1225070956
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Entity Type | Individual
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Provider Name | ADDIE ELIZABETH MORAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1850 N CENTRAL AVE SUITE 1600
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City | PHOENIX
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State | AZ
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Zip | 85004-4633
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Country | US
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Telephone | 602-744-4765
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Fax | 602-744-4799
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Provider Business Mailing Address
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Address Line | 13400 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-5452
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Country | US
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Telephone | 480-301-8000
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A76908
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 36526
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License Number State | AZ
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