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General NPI Number Information
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NPI Number | 1629101357
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Entity Type | Individual
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Provider Name | STEVEN PAUL GIACOPPO FNP
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 3811 E BELL RD SUITE 207
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City | PHOENIX
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State | AZ
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Zip | 85032-2138
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Country | US
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Telephone | 602-971-8200
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Fax | 602-971-8201
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Provider Business Mailing Address
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Address Line | 3811 E BELL RD SUITE 207
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City | PHOENIX
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State | AZ
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Zip | 85032-2138
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Country | US
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Telephone | 602-971-8200
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Fax | 602-971-8201
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3904
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4379
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License Number State | AZ
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