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General NPI Number Information
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NPI Number | 1386566974
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Entity Type | Organization
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Legal Business Name | AZ CARDIOLOGY SURGERY CENTER
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 9192 W UNION HILLS DR STE 103
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City | PEORIA
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State | AZ
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Zip | 85382-8209
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Country | US
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Telephone | 602-654-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 9191 W THUNDERBIRD RD STE D105
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City | PEORIA
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State | AZ
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Zip | 85381-4270
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Country | US
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Telephone | 520-262-0675
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JASON MILLER
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Credential |
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Telephone | 520-262-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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