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General NPI Number Information
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NPI Number | 1225084627
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Entity Type | Organization
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Legal Business Name | JEFFREY A. COPOLOFF, PLLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 8415 N PIMA RD SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4480
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Country | US
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Telephone | 623-934-3211
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Fax | 480-661-3990
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Provider Business Mailing Address
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Address Line | PO BOX 14390
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City | SCOTTSDALE
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State | AZ
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Zip | 85267-4390
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Country | US
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Telephone | 623-934-3211
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Fax | 480-661-3990
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JEFFREY A COPOLOFF
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Credential | DPM
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Telephone | 623-934-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0355
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License Number State | AZ
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