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General NPI Number Information
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NPI Number | 1417828609
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Entity Type | Organization
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Legal Business Name | PHOENIX UNIFIED SURGEONS
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 20333 N 19TH AVE STE 230
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City | PHOENIX
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State | AZ
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Zip | 85027-9901
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Country | US
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Telephone | 480-707-9504
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Fax | 602-581-7764
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Provider Business Mailing Address
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Address Line | 20333 N 19TH AVE STE 230
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City | PHOENIX
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State | AZ
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Zip | 85027-9901
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Country | US
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Telephone | 480-707-9504
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Fax | 602-581-7764
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Authorized Official
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Title or Position | FRONT OFFICE/BILLING
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Name | MAKAYLA WILLIAMS
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Credential |
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Telephone | 480-707-9504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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