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General NPI Number Information
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NPI Number | 1629906094
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Entity Type | Organization
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Legal Business Name | ORTHOAZ SURGERY CENTER
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1675 E MELROSE ST
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City | GILBERT
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State | AZ
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Zip | 85297-1001
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Country | US
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Telephone | 480-519-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 E MELROSE ST
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City | GILBERT
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State | AZ
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Zip | 85297-1001
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Country | US
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Telephone | 480-519-8101
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Fax |
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Authorized Official
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Title or Position | INSURANCE VERIFIER
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Name | ALEXAS GAGE
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Credential |
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Telephone | 480-519-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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