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General NPI Number Information
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NPI Number | 1659317717
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR PLASTIC SURGERY AND
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 3170 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1227
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Country | US
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Telephone | 520-298-2325
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Fax | 520-298-2328
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Provider Business Mailing Address
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Address Line | 3170 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1227
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Country | US
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Telephone | 520-298-2325
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Fax | 520-298-2328
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTOPHER THOMAS MALONEY JR.
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Credential | M.D.
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Telephone | 520-298-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 30130
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License Number State | AZ
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