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General NPI Number Information
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NPI Number | 1225300734
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Entity Type | Organization
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Legal Business Name | ZINZI A RAYMOND, DO, LLC
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 6350 S MAPLE AVE
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City | TEMPE
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State | AZ
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Zip | 85283-2857
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Country | US
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Telephone | 480-345-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 8526 E SAN DANIEL DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2542
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Country | US
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Telephone | 602-809-2926
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Fax | 602-595-2925
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Authorized Official
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Title or Position | OWNER
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Name | ZINZI A RAYMOND
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Credential | DO
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Telephone | 602-790-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4548
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License Number State | AZ
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