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General NPI Number Information
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NPI Number | 1669821252
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Entity Type | Organization
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Legal Business Name | ARIZONA PROCEDURAL CENTER
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 3655 WEST ANTHEM WAY SUITE 109 BOX 272
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City | ATHEM
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State | AZ
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Zip | 85086
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Country | US
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Telephone | 602-247-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 5062 N 19TH AVE STE 100
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City | PHOENIX
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State | AZ
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Zip | 85015-3225
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Country | US
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Telephone | 602-247-8630
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL COMPTON
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Credential | FNP-C
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Telephone | 623-703-3623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | OTC7672
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License Number State | AZ
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