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General NPI Number Information
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NPI Number | 1538120928
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Entity Type | Individual
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Provider Name | WILLIAM VANARSDELL MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 690 COFCO CENTER COURT SUITE 230
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City | PHOENIX
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State | AZ
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Zip | 85008-6464
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Country | US
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Telephone | 602-243-7277
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Fax | 602-286-0808
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Provider Business Mailing Address
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Address Line | 2702 NORTH 3RD STREET SUITE 4020
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City | PHOENIX
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State | AZ
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Zip | 85004-4608
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Country | US
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Telephone | 602-323-3344
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Fax | 602-323-3496
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 13372
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License Number State | AZ
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