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General NPI Number Information
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NPI Number | 1588657001
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Entity Type | Individual
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Provider Name | DANIEL OSCAR STORCH MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 340 E PALM LN SUITE A-175
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City | PHOENIX
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State | AZ
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Zip | 85004-4603
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Country | US
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Telephone | 602-386-1100
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Fax | 602-386-1150
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Provider Business Mailing Address
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Address Line | 340 E. PALM LANE SUITE A-175
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City | PHOENIX
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State | AZ
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Zip | 85004-4612
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Country | US
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Telephone | 602-386-1100
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Fax | 602-386-1150
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 19971
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License Number State | AZ
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