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General NPI Number Information
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NPI Number | 1396420758
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Entity Type | Organization
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Legal Business Name | ATLAS MEDICAL SYSTEMS, PLLC
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3320 N 3RD AVE
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City | PHOENIX
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State | AZ
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Zip | 85013-4304
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Country | US
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Telephone | 480-588-3165
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32990
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City | PHOENIX
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State | AZ
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Zip | 85064-2990
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Country | US
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Telephone | 480-588-3165
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Fax |
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Authorized Official
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Title or Position | ATLAS MEDICAL
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Name | ATLAS MEDICAL
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Credential |
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Telephone | 480-588-3165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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