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General NPI Number Information
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NPI Number | 1477790343
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Entity Type | Organization
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Legal Business Name | ARIZONA SURGICAL PHYSICIAN ASSISTANTS LLC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 19829 N 27TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85027-4001
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Country | US
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Telephone | 623-879-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 7616 W NAVIGATOR LN
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City | PEORIA
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State | AZ
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Zip | 85383-2246
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Country | US
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Telephone | 602-790-5410
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Fax |
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Authorized Official
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Title or Position | OWNER - PA
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Name | KARLA N FRICK
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Credential | PA-C
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Telephone | 602-790-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2722
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License Number State | AZ
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