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General NPI Number Information
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NPI Number | 1659757268
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Entity Type | Organization
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Legal Business Name | ARMENDARIZ MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 3509 E SHEA BLVD STE 103
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City | PHOENIX
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State | AZ
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Zip | 85028-3337
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Country | US
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Telephone | 602-708-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 3509 E SHEA BLVD STE 103
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City | PHOENIX
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State | AZ
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Zip | 85028-3337
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Country | US
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Telephone | 623-760-4030
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | GEORGE M ARMENDARIZ
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Credential | M.D
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Telephone | 602-708-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 33274
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License Number State | AZ
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