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General NPI Number Information
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NPI Number | 1265809867
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Entity Type | Organization
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Legal Business Name | PHOENICIAN FOOT & ANKLE SPECIALISTS LLC
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 11000 N SCOTTSDALE RD STE 270
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5270
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Country | US
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Telephone | 480-253-9996
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Fax | 844-733-9353
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Provider Business Mailing Address
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Address Line | 11000 N SCOTTSDALE RD STE 270
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5270
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Country | US
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Telephone | 480-253-9996
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Fax | 844-733-9353
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. NIMA SANA
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Credential | DPM
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Telephone | 602-363-3846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0795
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License Number State | AZ
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