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General NPI Number Information
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NPI Number | 1275311870
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Entity Type | Organization
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Legal Business Name | SHIRAH SURGICAL PLLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 250 E DUNLAP AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-2825
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Country | US
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Telephone | 480-531-1681
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29650 DEPT # 880968
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone | 480-531-1681
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. GINA GOLDEN
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Credential | MD
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Telephone | 480-531-1681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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