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General NPI Number Information
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NPI Number | 1417494584
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Entity Type | Organization
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Legal Business Name | CLINICAL LOGISTICS SOLUTIONS-SOUTHERN ARIZONA, LLC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 6619 N SCOTTSDALE RD # 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85250
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Country | US
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Telephone | 520-499-1510
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Fax |
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Provider Business Mailing Address
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Address Line | 6619 N SCOTTSDALE RD # 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-4421
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Country | US
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Telephone | 520-499-1510
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Fax |
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Authorized Official
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Title or Position | CLINICAL EXPERT
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Name | DR. JAY KATZ
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Credential | M.D.
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Telephone | 520-241-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 166
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License Number State | AZ
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