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General NPI Number Information
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NPI Number | 1508728130
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Entity Type | Organization
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Legal Business Name | HOSPITAL DEVELOPMENT OF WEST PHOENIX INC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1355 N LITCHFIELD ROAD
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City | GOODYEAR
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State | AZ
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Zip | 85395
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Country | US
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Telephone | 623-882-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 745869
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City | LOS ANGELES
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State | CA
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Zip | 90074-5869
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP GOVT PROGRAMS, TENET
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Name | ANGELO PAGANO
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Credential |
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Telephone | 469-893-2327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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