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General NPI Number Information
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NPI Number | 1508781642
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Entity Type | Organization
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Legal Business Name | AOM INFUSION CENTERS OF ARIZONA PC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 4915 E BASELINE RD STE 104
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City | GILBERT
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State | AZ
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Zip | 85234-2966
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Country | US
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Telephone | 817-361-7699
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Fax | 817-361-9671
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Provider Business Mailing Address
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Address Line | 4915 E BASELINE RD STE 104
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City | GILBERT
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State | AZ
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Zip | 85234-2966
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Country | US
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Telephone | 817-361-7699
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Fax | 817-361-9671
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | JONATHAN LEIZMAN
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Credential | MD
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Telephone | 817-361-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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