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General NPI Number Information
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NPI Number | 1295710002
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE EYE SURGERY CENTER, P.C
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 8414 N 90TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4395
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Country | US
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Telephone | 480-949-1208
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Fax | 480-994-3316
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Provider Business Mailing Address
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Address Line | 8414 N 90TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4395
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Country | US
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Telephone | 480-949-1208
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Fax | 480-994-3316
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS JOYCE R. SCHWEIKERT
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Credential | MBA
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Telephone | 480-291-7963
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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 | OSC0047
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License Number State | AZ
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