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General NPI Number Information
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NPI Number | 1598340044
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Entity Type | Individual
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Provider Name | GREGORY ROBERT BILLINGS MPAS
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Gender | Male
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1255 W RIO SALADO PKWY STE 107
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City | TEMPE
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State | AZ
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Zip | 85281-2892
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Country | US
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Telephone | 480-962-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 E ARGENTITE ST
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-5128
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Country | US
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Telephone | 480-686-0603
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 8367
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8367
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License Number State | AZ
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