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General NPI Number Information
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NPI Number | 1255906665
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Entity Type | Organization
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Legal Business Name | URGENTLY ORTHO PAIN MANAGEMENT AND WELLNESS, PLLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 13402 N SCOTTSDALE RD STE A125
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4055
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Country | US
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Telephone | 480-530-7575
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Fax | 602-429-8336
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Provider Business Mailing Address
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Address Line | 13402 N SCOTTSDALE RD STE A125
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4055
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Country | US
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Telephone | 480-530-7575
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Fax | 602-429-8336
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ANN CHERI FOXX LEACH
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Credential | MD
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Telephone | 480-530-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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