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General NPI Number Information
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NPI Number | 1487233912
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Entity Type | Organization
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Legal Business Name | ARRAN INDUSTRIES
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 1102 N EL DORADO PL
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City | TUCSON
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State | AZ
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Zip | 85715-4606
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Country | US
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Telephone | 520-881-4525
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Fax | 520-881-2962
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Provider Business Mailing Address
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Address Line | 3500 N SABINO CANYON RD UNIT 87
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City | TUCSON
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State | AZ
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Zip | 85750-6161
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Country | US
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Telephone | 650-815-6231
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Fax | 520-881-2962
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN RAY TALLEY
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Credential | MD
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Telephone | 650-815-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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