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General NPI Number Information
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NPI Number | 1558545509
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Entity Type | Individual
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Provider Name | JORDI SPARTACO LIVI M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 6380 E THOMAS RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7033
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Country | US
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Telephone | 480-607-0606
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Fax | 480-498-3725
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Provider Business Mailing Address
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Address Line | 11000 N SCOTTSDALE RD # AZ 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6130
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Country | US
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Telephone | 480-607-0606
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Fax | 480-498-3725
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41583
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License Number State | AZ
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