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General NPI Number Information
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NPI Number | 1477412419
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Entity Type | Organization
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Legal Business Name | ROADRUNNER MEDICAL OPERATIONS AZ LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 16515 S 40TH ST STE 135
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City | PHOENIX
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State | AZ
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Zip | 85048-0560
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Country | US
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Telephone | 908-748-4472
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Fax |
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Provider Business Mailing Address
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Address Line | 3961 E CHANDLER BLVD STE 111-244
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City | PHOENIX
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State | AZ
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Zip | 85048-0303
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Country | US
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Telephone | 908-748-4471
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAMRAN TASHAROFI
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Credential | MD
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Telephone | 908-748-4471
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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 |
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License Number State |
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