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General NPI Number Information
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NPI Number | 1598161887
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Entity Type | Organization
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Legal Business Name | PHOENIX HAND SURGERY, LLC
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 7972 W THUNDERBIRD RD
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City | PEORIA
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State | AZ
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Zip | 85381-4903
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Country | US
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Telephone | 602-384-3540
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Fax | 602-429-8128
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Provider Business Mailing Address
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Address Line | 34616 N DESERT RIDGE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-1194
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Country | US
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Telephone | 602-384-3540
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Fax | 602-429-8128
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NIKKI COLBY
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Credential |
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Telephone | 602-384-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 37345
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License Number State | AZ
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