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General NPI Number Information
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NPI Number | 1245290766
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Entity Type | Organization
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Legal Business Name | EDWARD D SZMUC, M.D., P.C.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 2034 E SOUTHERN AVE SUITE T
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City | TEMPE
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State | AZ
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Zip | 85282-7522
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Country | US
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Telephone | 480-820-9722
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Fax | 480-491-1359
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Provider Business Mailing Address
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Address Line | 2034 E SOUTHERN AVE SUITE T
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City | TEMPE
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State | AZ
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Zip | 85282-7522
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Country | US
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Telephone | 480-820-9722
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Fax | 480-491-1359
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD D SZMUC
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Credential | M.D.
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Telephone | 480-820-9722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14022
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License Number State | AZ
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