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General NPI Number Information
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NPI Number | 1336060755
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Entity Type | Organization
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Legal Business Name | VALLEY SURGICAL CARDIO-THORACIC SPECIALISTS LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 403 W COOL DR STE 103
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City | TUCSON
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State | AZ
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Zip | 85704-6551
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Country | US
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Telephone | 520-296-9790
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Fax | 602-953-5466
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Provider Business Mailing Address
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Address Line | 4022 E GREENWAY RD STE 11-191
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City | PHOENIX
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State | AZ
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Zip | 85032-4797
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Country | US
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Telephone | 602-996-4747
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Fax | 602-953-5466
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Authorized Official
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Title or Position | CEO
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Name | ALICIA J MANGRAM
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Credential | MD
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Telephone | 602-996-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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