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General NPI Number Information
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NPI Number | 1619140225
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE NEUROLOGY PLLC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 9755 N 90TH ST STE A200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5070
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Country | US
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Telephone | 480-621-3313
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Fax | 480-621-3314
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Provider Business Mailing Address
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Address Line | 9755 N 90TH ST STE A200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5070
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Country | US
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Telephone | 480-621-3313
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Fax | 480-621-3314
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SETH KAUFMAN
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Credential |
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Telephone | 480-621-3313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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