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General NPI Number Information
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NPI Number | 1356347975
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Entity Type | Organization
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Legal Business Name | HOWARD G NORMAN, DO LTD
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 N CENTRAL AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-1906
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Country | US
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Telephone | 623-932-1211
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Fax | 623-932-3674
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Provider Business Mailing Address
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Address Line | 425 N CENTRAL AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-1906
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Country | US
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Telephone | 623-932-1211
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Fax | 623-932-3674
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HOWARD G NORMAN
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Credential | DO
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Telephone | 623-932-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0970
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License Number State | AZ
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