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NPI 1336272657

NPI 1336272657 : ARIZONA DIGESTIVE CENTER, P.C. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1336272657
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIZONA DIGESTIVE CENTER, P.C. 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    06/01/2011
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Provider Practice Location Address
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    Address Line         |    8761 E BELL RD STE 101
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1316
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    Country              |    US
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    Telephone            |    480-219-6662
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    Fax                  |    480-219-6596
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Provider Business Mailing Address
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    Address Line         |    8761 E. BELL ROAD SUITE 101
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260
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    Country              |    US
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    Telephone            |    480-419-7500
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    Fax                  |    480-419-2700
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NIZAR N RAMZAN 
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    Credential           |    MD
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    Telephone            |    480-219-6662
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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       |    OSC3616
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    License Number State |    AZ
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