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NPI 1649671116

NPI 1649671116 : AYMONTI PLLC : YUMA, AZ

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General NPI Number Information
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    NPI Number           |    1649671116
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    Entity Type          |    Organization 
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    Legal Business Name  |    AYMONTI PLLC 
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Dates
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    Enumeration Date     |    09/15/2014
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    Last Update Date     |    09/24/2014
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Provider Practice Location Address
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    Address Line         |    2400 S AVENUE A 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85364-7127
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    Country              |    US
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    Telephone            |    928-287-2244
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6376 
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    City                 |    YUMA
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    State                |    AZ
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    Zip                  |    85366-2517
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    Country              |    US
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    Telephone            |    928-287-2244
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    DR. AYMAN  ATTAYA 
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    Credential           |    M.D.
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    Telephone            |    928-287-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    49111
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    License Number State |    AZ
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