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General NPI Number Information
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NPI Number | 1245726041
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Entity Type | Individual
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Provider Name | STEVEN GREITZER
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Gender | Male
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 4131 N 24TH ST STE A201-24
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City | PHOENIX
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State | AZ
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Zip | 85016-6262
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Country | US
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Telephone | 305-587-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 907 E MEDLOCK DR
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City | PHOENIX
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State | AZ
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Zip | 85014-3215
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Country | US
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Telephone | 305-587-6700
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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