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General NPI Number Information
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NPI Number | 1518902618
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Entity Type | Organization
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Legal Business Name | ADULT INTERNAL MEDICINE OF NORTH SCOTTSDALE, LTD
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 10290 N 92ND ST SUITE 203
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4522
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Country | US
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Telephone | 480-391-0707
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Fax | 480-391-0302
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Provider Business Mailing Address
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Address Line | 10290 N 92ND ST SUITE 203
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4522
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Country | US
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Telephone | 480-391-0707
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Fax | 480-391-0302
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JAY S FRIEDMAN
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Credential | M.D.
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Telephone | 480-391-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A15319
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License Number State | AZ
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