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General NPI Number Information
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NPI Number | 1407584907
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Entity Type | Organization
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Legal Business Name | ARIZONA ORTHOPEDIC & SPINE INSTITUTE
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 3133 E LINCOLN DR
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City | PHOENIX
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State | AZ
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Zip | 85016-2317
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Country | US
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Telephone | 480-617-8089
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Fax | 480-452-0777
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Provider Business Mailing Address
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Address Line | 3133 E LINCOLN DR
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City | PHOENIX
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State | AZ
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Zip | 85016-2317
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Country | US
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Telephone | 480-617-8089
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Fax | 480-452-0777
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROSS SHERBAN
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Credential | DO
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Telephone | 248-217-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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