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General NPI Number Information
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NPI Number | 1245506104
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Entity Type | Individual
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Provider Name | RALPH SALVADOR CARUNGI D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 6230 E CHENEY DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3518
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Country | US
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Telephone | 602-680-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 6230 EAST CHENEY DR
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3518
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Country | US
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Telephone | 602-680-0200
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2398
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License Number State | AZ
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