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General NPI Number Information
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NPI Number | 1528251311
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Entity Type | Organization
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Legal Business Name | ARIZONA MEDICAL INFUSION
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 20650 N 29TH PL SUITE 105
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City | PHOENIX
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State | AZ
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Zip | 85050-4782
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Country | US
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Telephone | 602-788-3400
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Fax | 602-788-3405
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Provider Business Mailing Address
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Address Line | 20650 N 29TH PL SUITE 105
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City | PHOENIX
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State | AZ
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Zip | 85050-4782
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Country | US
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Telephone | 602-788-3400
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Fax | 602-788-3405
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ANTHONY SAMMARTINO
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Credential | R.PH.
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Telephone | 602-788-3400
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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 | Y004697
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License Number State | AZ
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