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General NPI Number Information
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NPI Number | 1356540777
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Entity Type | Organization
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Legal Business Name | ADMIRE PLASTIC SURGERY PLLC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 5410 N SCOTTSDALE RD SUITE G 100
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5927
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Country | US
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Telephone | 480-860-1333
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Fax | 520-971-3621
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Provider Business Mailing Address
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Address Line | 5410 N SCOTTSDALE RD SUITE G 100
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-5927
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Country | US
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Telephone | 480-860-1333
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Fax | 520-971-3621
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | ANTHONY A ADMIRE
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Credential | M.D.
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Telephone | 480-860-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 34843
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License Number State | AZ
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