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General NPI Number Information
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NPI Number | 1285430280
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Entity Type | Individual
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Provider Name | ANTHONY MORENO TORRES
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Gender | Male
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 8020 E GELDING DR STE B101
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6948
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Country | US
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Telephone | 602-808-9912
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Fax | 602-875-0385
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Provider Business Mailing Address
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Address Line | 1831 W ROSE GARDEN LN STE 4
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City | PHOENIX
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State | AZ
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Zip | 85027-2725
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Country | US
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Telephone | 602-808-9912
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Fax | 602-875-0385
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-047091
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License Number State | AZ
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