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General NPI Number Information
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NPI Number | 1487136917
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Entity Type | Individual
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Provider Name | FAITH MARONEY REAL PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 245 S DOBSON RD
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City | CHANDLER
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State | AZ
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Zip | 85224-6577
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Country | US
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Telephone | 480-895-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 4262 E SUNDANCE AVE
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City | GILBERT
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State | AZ
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Zip | 85297-9644
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Country | US
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Telephone | 406-539-9270
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10519
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License Number State | AZ
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