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General NPI Number Information
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NPI Number | 1467809483
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Entity Type | Individual
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Provider Name | ARTI EASWAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 602-883-1274
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Fax |
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Provider Business Mailing Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 602-883-1274
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 66282
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License Number State | AZ
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