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General NPI Number Information
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NPI Number | 1225422736
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR MUSCULOSKELETAL ULTRASOUND OF ARIZONA
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 9821 N 95TH ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4589
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Country | US
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Telephone | 480-239-5539
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Fax | 949-218-1946
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Provider Business Mailing Address
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Address Line | 910 S EL CAMINO REAL STE 102
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4279
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Country | US
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Telephone | 949-219-1943
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Fax | 949-218-1946
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Authorized Official
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Title or Position | CEO
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Name | MR. STEVEN KEITH JABLON
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Credential |
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Telephone | 480-239-3968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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