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General NPI Number Information
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NPI Number | 1548249766
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Entity Type | Individual
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Provider Name | ERIC SHAWN HAZELRIGG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 1760 E PECOS RD STE 235
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City | GILBERT
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State | AZ
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Zip | 85295-3207
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Country | US
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Telephone | 480-813-0944
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Fax | 480-813-0038
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Provider Business Mailing Address
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Address Line | 1760 E PECOS RD STE 235
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City | GILBERT
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State | AZ
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Zip | 85295-3207
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Country | US
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Telephone | 480-813-0944
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Fax | 480-813-0038
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20772
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License Number State | AZ
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