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General NPI Number Information
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NPI Number | 1265536270
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Entity Type | Organization
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Legal Business Name | CIGNA HEALTHCARE OF ARIZONA, INC.
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 755 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2506
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Country | US
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Telephone | 602-271-3020
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Fax | 602-271-5394
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Provider Business Mailing Address
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Address Line | 25500 N NORTERRA DR ATTN HCFS SUPPORT CENTER
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City | PHOENIX
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State | AZ
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Zip | 85085-8200
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Country | US
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Telephone | 623-277-1000
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | JAMES H. BURRELL III
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Credential | MD
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Telephone | 602-271-5426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | OSC 0012
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License Number State | AZ
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