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General NPI Number Information
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NPI Number | 1447348362
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Entity Type | Organization
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Legal Business Name | MARIANA AMAYA M.D., P.C.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 600 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85013-4213
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Country | US
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Telephone | 602-234-9611
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Fax | 602-234-0011
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Provider Business Mailing Address
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Address Line | 600 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85013-4213
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Country | US
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Telephone | 602-234-9611
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Fax | 602-234-0011
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Authorized Official
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Title or Position | OWNER
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Name | MARIANA AMAYA
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Credential | M.D.
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Telephone | 602-234-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33643
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License Number State | AZ
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