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General NPI Number Information
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NPI Number | 1528230786
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Entity Type | Individual
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Provider Name | MAGDA URSZULA REES P.A.-C.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 5424 E SOUTHERN AVE #101
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City | MESA
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State | AZ
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Zip | 85206-3621
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Country | US
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Telephone | 480-654-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 W GUADALUPE RD STE 108
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City | GILBERT
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State | AZ
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Zip | 85233-3049
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Country | US
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Telephone | 480-654-6200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3570
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License Number State | AZ
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