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General NPI Number Information
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NPI Number | 1285927574
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Entity Type | Organization
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Legal Business Name | PARA SURGICAL SPECIALISTS, PLLC
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 9515 W. CAMELBACK RD SUITE 132
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City | PHOENIX
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State | AZ
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Zip | 85037-0000
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Country | US
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Telephone | 623-247-4900
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Fax | 623-247-4908
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Provider Business Mailing Address
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Address Line | 9515 W. CAMELBACK RD SUITE 132
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City | PHOENIX
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State | AZ
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Zip | 85037-0000
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Country | US
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Telephone | 623-247-4900
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Fax | 623-247-4908
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. DANIEL JOHN PARA
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Credential | MD, FACS
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Telephone | 623-247-4900
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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 | 022450
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License Number State | AZ
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