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General NPI Number Information
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NPI Number | 1346791647
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Entity Type | Organization
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Legal Business Name | PHYSICIAN ASSISTANT FIRST ASSIST, PLLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 8987 E TANQUE VERDE RD #309-150
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City | TUCSON
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State | AZ
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Zip | 85749-9610
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Country | US
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Telephone | 480-215-2953
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Fax | 877-297-7393
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Provider Business Mailing Address
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Address Line | 3324 E RAY RD UNIT 1742
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City | HIGLEY
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State | AZ
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Zip | 85236-4583
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Country | US
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Telephone | 480-215-2953
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Fax | 877-297-7393
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | APRIL C HANNA
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Credential | PA
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Telephone | 480-215-2953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 3550
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License Number State | AZ
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