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General NPI Number Information
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NPI Number | 1588846851
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Entity Type | Organization
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Legal Business Name | PHOENIX SPINE CONSULTANTS PLLC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 19841 N 27TH AVE STE 300A
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City | PHOENIX
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State | AZ
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Zip | 85027-4012
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Country | US
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Telephone | 623-582-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 19841 N 27TH AVE STE 300A
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City | PHOENIX
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State | AZ
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Zip | 85027-4012
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Country | US
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Telephone | 623-582-2010
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOHN LOUIS BEGHIN
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Credential | M. D.
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Telephone | 623-582-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 29670
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License Number State | AZ
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