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General NPI Number Information
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NPI Number | 1417121393
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Entity Type | Organization
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Legal Business Name | PHOENIX CHILDREN'S HOSPITAL, INC.
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 5425 E BELL RD STE 145
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6010
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Country | US
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Telephone | 602-933-5730
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Fax | 602-933-2483
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Provider Business Mailing Address
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Address Line | 2108 E THOMAS RD STE 130
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City | PHOENIX
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State | AZ
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Zip | 85016-0008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP, MANAGED CARE & PAYOR STRATEGY
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Name | RAHEEL FAROUGH
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Credential |
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Telephone | 602-933-3548
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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 | OTC7349
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License Number State | AZ
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