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General NPI Number Information
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NPI Number | 1679565519
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Entity Type | Individual
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Provider Name | AURELIANO E CIFUENTES MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 2727 W BASELINE RD SUITE 8
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City | TEMPE
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State | AZ
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Zip | 85283-1067
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Country | US
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Telephone | 602-323-0904
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Fax | 602-243-7616
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Provider Business Mailing Address
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Address Line | 2727 W. BASELINE RD. SUITE 8
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City | TEMPE
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 602-323-0904
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Fax | 602-243-7616
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | AZ11483
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License Number State | AZ
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