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General NPI Number Information
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NPI Number | 1629047022
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Entity Type | Organization
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Legal Business Name | ARIZONA ACUTE NEUROLOGIC CLINIC PC
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD STE 303
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5216
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Country | US
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Telephone | 480-860-2455
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Fax | 480-767-5574
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Provider Business Mailing Address
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Address Line | 10900 N SCOTTSDALE RD STE 303
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5216
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Country | US
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Telephone | 480-860-2455
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Fax | 480-767-5574
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESS A MILLER
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Credential | MD
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Telephone | 480-860-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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