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General NPI Number Information
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NPI Number | 1437342557
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Entity Type | Organization
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Legal Business Name | MD ROOMSERVICE-DOCTORCARE
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 7010 E ACOMA DR SUITE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3553
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Country | US
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Telephone | 480-575-0576
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Fax | 480-575-0512
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Provider Business Mailing Address
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Address Line | PO BOX 7904
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City | CAVE CREEK
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State | AZ
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Zip | 85327-7904
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Country | US
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Telephone | 480-575-0576
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Fax | 480-575-0512
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. JOEL COHEN
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Credential | MD
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Telephone | 480-575-0576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29916
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License Number State | AZ
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