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General NPI Number Information
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NPI Number | 1295859213
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Entity Type | Organization
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Legal Business Name | FOOTHILLS GASTROENTEROLOGY PLLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 1521 E TANGERINE RD SUITE 283
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6225
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Country | US
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Telephone | 520-818-3680
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Fax | 520-901-2981
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Provider Business Mailing Address
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Address Line | 1521 E TANGERINE RD SUITE 283
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6225
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Country | US
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Telephone | 520-818-3680
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Fax | 520-901-2981
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ALANA OAXACA
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Credential |
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Telephone | 520-818-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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