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General NPI Number Information
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NPI Number | 1649596941
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Entity Type | Organization
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Legal Business Name | CATALINA EAR, NOSE & THROAT
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 9325 E SHEA BLVD SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6715
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Country | US
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Telephone | 623-432-8880
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Fax | 623-240-1042
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Provider Business Mailing Address
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Address Line | 5910 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3535
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Country | US
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Telephone | 520-498-1800
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Fax | 520-498-1400
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Authorized Official
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Title or Position | CONTRACTING AND CREDENTIALING
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Name | CHRISTY K WILLIAMS
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Credential |
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Telephone | 520-990-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 231H00000X
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Taxonomy Name | Audiologist
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #4
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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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