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General NPI Number Information
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NPI Number | 1376585166
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Entity Type | Organization
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Legal Business Name | PATTERSON SCHLOTTERER MEDICAL GROUP
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 515 W BUCKEYE RD SUITE 402
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City | PHOENIX
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State | AZ
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Zip | 85003-2647
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Country | US
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Telephone | 480-759-1040
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Fax | 480-759-3520
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Provider Business Mailing Address
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Address Line | 515 W BUCKEYE RD SUITE 402
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City | PHOENIX
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State | AZ
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Zip | 85003-2647
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Country | US
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Telephone | 602-257-9229
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Fax | 602-257-9368
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY E SCHLOTTERER
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Credential | M.D.
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Telephone | 602-257-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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