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NPI 1518871300

NPI 1518871300 : REVEA RHEUMATOLOGY, PLLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1518871300
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    Entity Type          |    Organization 
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    Legal Business Name  |    REVEA RHEUMATOLOGY, PLLC 
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Dates
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    Enumeration Date     |    09/30/2026
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    Last Update Date     |    09/30/2026
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Provider Practice Location Address
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    Address Line         |    7002 E OSBORN RD 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-6325
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    Country              |    US
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    Telephone            |    480-788-7401
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    Fax                  |    480-900-8680
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Provider Business Mailing Address
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    Address Line         |    1801 E CAMELBACK RD STE 102-1184 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4163
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    Country              |    US
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    Telephone            |    480-788-7401
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    Fax                  |    480-900-8680
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Authorized Official
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    Title or Position    |    OWNER, PHYSICIAN
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    Name                 |    DR. BRITTANY  PANICO 
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    Credential           |    DO
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    Telephone            |    480-788-7401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    NULL
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