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General NPI Number Information
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NPI Number | 1437351517
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Entity Type | Organization
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Legal Business Name | THE FYBROMYALGIA CENTER FOR EDUCATION AND COMPLEMENTARY MEDICINE
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6340 E MARIOCA CIR
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-7327
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Country | US
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Telephone | 602-550-7132
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Fax | 480-575-5107
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Provider Business Mailing Address
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Address Line | 6340 E MARIOCA CIR
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-7327
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Country | US
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Telephone | 602-550-7132
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Fax | 480-575-5107
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GARY RAYMOND PAPE
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Credential | M.S.
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Telephone | 602-550-7132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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