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General NPI Number Information
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NPI Number | 1417820564
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Entity Type | Organization
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Legal Business Name | ANESTHESIA OF SAGUARO
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2919 S ELLSWORTH RD STE 109
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City | MESA
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State | AZ
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Zip | 85212-2165
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Country | US
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Telephone | 480-597-4321
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Fax | 833-559-0886
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Provider Business Mailing Address
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Address Line | 2919 S ELLSWORTH RD STE 109
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City | MESA
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State | AZ
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Zip | 85212-2165
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Country | US
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Telephone | 480-597-4321
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Fax | 833-559-0886
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Authorized Official
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Title or Position | OWNER
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Name | ARMEN DERIAN
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Credential | MD
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Telephone | 480-597-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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