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NPI 1508065160

NPI 1508065160 : BRIAN TRAINOR, DO, PLLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1508065160
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIAN TRAINOR, DO, PLLC 
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Dates
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    Enumeration Date     |    07/13/2007
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    Last Update Date     |    04/24/2009
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Provider Practice Location Address
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    Address Line         |    3501 N SCOTTSDALE RD STE 142 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-5632
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    Country              |    US
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    Telephone            |    480-945-6100
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    Fax                  |    480-945-6168
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Provider Business Mailing Address
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    Address Line         |    3600 N HAYDEN RD APT 2716 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-4728
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    Country              |    US
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    Telephone            |    480-945-6100
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    Fax                  |    480-945-6168
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRIAN E TRAINOR 
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    Credential           |    DO
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    Telephone            |    480-945-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207YX0007X
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    Taxonomy Name        |    Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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    License Number       |    4162
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    License Number State |    AZ
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