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General NPI Number Information
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NPI Number | 1376286781
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Entity Type | Individual
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Provider Name | JOSHUA NASEN MANIAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 16100 N 71ST ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2225
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Country | US
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Telephone | 602-553-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 E GARY RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6607
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Country | US
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Telephone | 480-567-8325
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 77733
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License Number State | AZ
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