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General NPI Number Information
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NPI Number | 1538579776
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Entity Type | Individual
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Provider Name | NICHOLAS ANTHONY POPONEA DO
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Gender | Male
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 9060 E VIA LINDA STE 250
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5425
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Country | US
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Telephone | 480-614-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 9060 E VIA LINDA STE 250
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5425
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T1811
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 93087
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | T1811
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 010622
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 010622
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101021107
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | T1811
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 73690
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License Number State | WI
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Taxonomy #9
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 73690
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License Number State | WI
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