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General NPI Number Information
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NPI Number | 1316440704
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Entity Type | Organization
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Legal Business Name | AIRWAY MANAGEMENT SPECIALIST PLLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 09/10/2023
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Provider Practice Location Address
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Address Line | 8424 E SHEA BLVD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6662
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Country | US
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Telephone | 480-256-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 E PICCADILLY RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5580
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAY H SHAH
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Credential | MD
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Telephone | 319-389-6846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 52034
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License Number State | AZ
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