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General NPI Number Information
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NPI Number | 1255439485
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Entity Type | Individual
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Provider Name | ZANDRA S. NOCERA MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 4440 N 36TH ST STE 110
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City | PHOENIX
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State | AZ
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Zip | 85018-3589
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Country | US
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Telephone | 602-956-1994
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Fax | 602-957-6250
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Provider Business Mailing Address
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Address Line | PO BOX 53536
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City | PHOENIX
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State | AZ
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Zip | 85072-3536
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Country | US
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Telephone | 602-956-1994
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Fax | 602-957-6250
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14587
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License Number State | AZ
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