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General NPI Number Information
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NPI Number | 1518969773
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Entity Type | Organization
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Legal Business Name | ARIZONA SKIN CANCER SURGERY CENTER, P.C.
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 5980 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3535
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Country | US
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Telephone | 520-887-3333
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Fax | 520-887-3344
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Provider Business Mailing Address
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Address Line | PO BOX 37075
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City | TUCSON
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State | AZ
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Zip | 85740-7075
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Country | US
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Telephone | 520-887-3333
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Fax | 520-887-3344
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | MICHAEL J. HUETHER
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Credential | M.D.
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Telephone | 520-887-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | OSC-3599
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License Number State | AZ
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