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NPI 1669565941

NPI 1669565941 : BRIAN HOYT HESS MD : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1669565941
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN HOYT HESS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/01/2006
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    Last Update Date     |    11/27/2007
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Provider Practice Location Address
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    Address Line         |    214 W ROOSEVELT ST #201C
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85003-1496
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    Country              |    US
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    Telephone            |    623-202-5528
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    214 W ROOSEVELT ST #201C
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85003-1496
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    Country              |    US
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    Telephone            |    623-202-5528
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    35640
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    License Number State |    AZ
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